CVS Pharmacy Inc
Organization Active NPI Pharmacy · Springfield, MA
NPI 1043310477 · NPPES record last updated Sep 1, 2021
Key facts
- NPI
- 1043310477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 1690 (MA)
- Legal business name
- CVS PHARMACY INC
- Practice address
- 615 621Belmont Ave
Springfield, MA 01108 - Phone
- (413) 732-2998
- NPI assigned
- Sep 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Susan F Colbert
- Title
- Director, Payer Relations
- Phone
- (401) 770-2751
Corporate family (same tax ID) 24
Member of 1
Practitioners 6
-
Frederick Asante-Somuah, PHARMD
-
Daniel Hamm, PHARM.D
-
Michael Peter Maserati, PHARMD
-
Rebecca Smith, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110408000018 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092711895 | This NPI is an additional NPI on the enrollment |
| O20110623000138 | MA | DME Supplier - Pharmacy | 5092711895 | Practice locations: Springfield, MA |
National Provider Directory
- Tax ID family
- CVS Pharmacy Inc Agent for CVS RX Services Inc
Locations
615 Belmont Ave
Springfield, MA 01108
Phone (413) 433-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 1690 | MA | Yes |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
615 621Belmont Ave
Springfield, MA 01108
Mailing address
1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2229018 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- CVS PHARMACY #01130
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Springfield, MA
- Cutchins Programs
- Adam Scott Cutter
- Anne L Cuvellier
- Mary Kim Cuzyk
- Erika Cuzzone
- CVS Pharmacy Inc
- CVS Pharmacy Inc
- CVS Pharmacy Inc
- CVS Pharmacy Inc
- CVS Pharmacy Inc
All providers in Springfield, MA · Pharmacy in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.