Active NPI
CVS Pharmacy
- Health Maintenance Organization
- Monroe, NC
National Provider Identifier
1063715480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- CVS PHARMACY
- Practice address
- 2501 W Roosevelt Blvd
Monroe, NC 28110-0418 - Phone
- (704) 283-1506
- NPI assigned
- Dec 7, 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
- Dr. Adriane Waldron
- Title
- Pharmd RPH
- Phone
- (704) 289-2034
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
2501 W Roosevelt Blvd
Monroe, NC 28110-0418
Mailing address
3919 Mountain Dr
Monroe, NC 28112-8147
Phone (704) 242-0838
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Charlotte, NC
- NPI 1861796260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291680000000",
"number": "1063715480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3919 MOUNTAIN DR",
"city": "MONROE",
"state": "NC",
"postal_code": "281128147",
"telephone_number": "704-242-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W ROOSEVELT BLVD",
"city": "MONROE",
"state": "NC",
"postal_code": "281100418",
"telephone_number": "704-283-1506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-07",
"last_updated": "2010-12-07",
"status": "A",
"authorized_official_last_name": "WALDRON",
"authorized_official_first_name": "ADRIANE",
"authorized_official_title_or_position": "PHARMD RPH",
"authorized_official_telephone_number": "704-289-2034",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.