Pennsylvania CVS Pharmacy, L.L.C.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP481478 Issued in PA

Legal business name

PENNSYLVANIA CVS PHARMACY, L.L.C.

Practice address

3 S Pennell Rd
Media, PA 19063

Phone

(610) 565-7720

NPI assigned

Sep 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Colbert

Title

Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY #07239 Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Pennsylvania CVS Pharmacy LLC431 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Erie, PA
  • NPI 1003919846
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Ambler, PA
  • NPI 1013279389
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • York, PA
  • NPI 1013939743
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Pittsburgh, PA
  • NPI 1033212899
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Carbondale, PA
  • NPI 1033217757
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Northampton, PA
  • NPI 1043313802
  NPD tax ID
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • Warminster, PA
  • NPI 1003118621
  NPD tax ID
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • Northumberland, PA
  • NPI 1003910837
  NPD tax ID
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • West Chester, PA
  • NPI 1003910852
  NPD tax ID
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • Philadelphia, PA
  • NPI 1003910886
  NPD tax ID
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • Doylestown, PA
  • NPI 1003910894
  NPD tax ID
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • Kingston, PA
  • NPI 1013011865
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1013014513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "PO BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 S PENNELL RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "610-565-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA CVS PHARMACY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP481478",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3984552",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY #07239",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonita M Pearsall, ACSW LCSW
• Samantha Peckham, PMHNP
• Pediatric Services of America, LLC
• Katherine A Peisochenske, PA-C
• Constance Clay Pelesh, MS,LPC
• Pennsylvania CVS Pharmacy, L.L.C.
• Edward M Penot, M.S.P.T.
• Angela Pensyl
• Jovanna Penza
• Kevin Rafael Perez Baez, LPC

• All providers in Media, PA
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.