Active NPI
New Jersey CVS Pharmacy LLC
Doing business as CVS Pharmacy 02126
- Pharmacy
- Lawrenceville, NJ
National Provider Identifier
1063504652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 5728
- Legal business name
- NEW JERSEY CVS PHARMACY LLC
- Doing business as
- CVS Pharmacy 02126
- Practice address
- 1900 US Highway 1
Lawrenceville, NJ 08648-4604 - Phone
- (609) 392-6476
- NPI assigned
- Sep 29, 2006
- Last updated
- Nov 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
- Susan Colbert
- Title
- Director
- Phone
- (401) 765-1500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 5728 | NJ | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1900 US Highway 1
Lawrenceville, NJ 08648-4604
Mailing address
1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3141164 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- CVS PHARMACY 02126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100830000881 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 2365566288 | This NPI is an additional NPI on the enrollment |
| O20100930029174 | NJ | DME Supplier - Pharmacy | 3678777851 | Practice locations: Lawrenceville, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- New Jersey CVS Pharmacy LLC
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1900 US Highway 1
Lawrenceville, NJ 08648
Phone (609) 392-6476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288742400000",
"number": "1063504652",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 US HIGHWAY 1",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "086484604",
"telephone_number": "609-392-6476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW JERSEY CVS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2010-11-03",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "401-765-1500"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NJ",
"license": "5728",
"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": "3141164",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY 02126",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lawrenceville, NJ
- Katherine Nelson, OT
- Nervana Neuromonitoring LLC
- Meera Netrakanti, DO
- Neuro-Group, PA
- Neuroscapes Music Therapy and Integrated Services
- New Jersey CVS Pharmacy LLC (CVS Pharmacy #00824)
- New Jersey Neck & Back Institute PC
- New Jersey Podiatric Physicians & Surgeons Group LLC (Lawrenceville Foot Care LLC)
- Savian P. Nicholas, M.D.
- Anitha Nimma, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.