Active NPI
CVS Pharmacy, Inc.
Doing business as CVS Pharmacy #07552
- Pharmacy
- Rio Rancho, NM
National Provider Identifier
1043542848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH00003192
- Legal business name
- CVS PHARMACY, INC.
- Doing business as
- CVS Pharmacy #07552
- Practice address
- 1001 NM 528 SE
Rio Rancho, NM 87124 - Phone
- (505) 896-2078
- NPI assigned
- Feb 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Susan Colbert
- Title
- Director Payer Relations
- Phone
- (401) 765-1500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | PH00003192 | NM | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1001 NM 528 SE
Rio Rancho, NM 87124
Mailing address
1 CVS Dr
Box 1075 Pharmacy Enrollments
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3211997 | Other | NCPDP |
Other names 1
- CVS PHARMACY #07552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100811001033 | NM | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092711895 |
25 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Santa Fe, NM; Silver City, NM; Roswell, NM; Rio Rancho, NM; Las Cruces, NM; Hobbs, NM; Farmington, NM; Espanola, NM… |
| O20100930011017 | NM | DME Supplier - Pharmacy | 5092711895 | Practice locations: Rio Rancho, NM |
Other NPIs on the same Medicare enrollment 22
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #07552 | Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urologic… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- CVS Pharmacy Inc Agent for CVS RX Services Inc
Organizations with this tax ID in the same state 14
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Pharmacist
- Santa Fe, NM
- NPI 1538563440
-
- Exclusive Provider Organization
- Santa Fe, NM
- NPI 1033514492
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1063815231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317859200000",
"number": "1043542848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "BOX 1075 PHARMACY ENROLLMENTS",
"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": "1001 NM 528 SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "87124",
"telephone_number": "505-896-2078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-03",
"last_updated": "2011-10-06",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "DIRECTOR PAYER RELATIONS",
"authorized_official_telephone_number": "401-765-1500",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NM",
"license": "PH00003192",
"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": "NCPDP",
"identifier": "3211997",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY #07552",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.