Active NPI
North Carolina CVS Pharmacy LLC
Doing business as CVS Pharmacy #17458
- Pharmacy
- Wesley Chapel, NC
National Provider Identifier
1073774162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- NORTH CAROLINA CVS PHARMACY LLC
- Doing business as
- CVS Pharmacy #17458
- Practice address
- 6350 Weddington Rd
Wesley Chapel, NC 28104-7925 - Phone
- (704) 234-5272
- Fax
- (704) 234-5282
- NPI assigned
- Jun 20, 2008
- Last updated
- Nov 17, 2016
- 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
- Sr. Director, Payer Relations
- Phone
- (401) 770-2751
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | NU | Primary | |
| Community/Retail Pharmacy | 3336C0003X | 10122 | NC |
Addresses
Primary practice location
6350 Weddington Rd
Wesley Chapel, NC 28104-7925
Mailing address
1 CVS Dr
Mail Code 1090
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2067384 | Other | PK |
Other names 1
- CVS Pharmacy #17458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080116000795 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 9133200017 | This NPI is an additional NPI on the enrollment |
| O20161026002669 | NC | DME Supplier - Pharmacy | 9133200017 | Practice locations: Wesley Chapel, NC |
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 |
|---|---|---|
| North Carolina CVS Pharmacy LLC | 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
- North Carolina CVS Pharmacy
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.
-
- Pharmacist
- Fayetteville, NC
- NPI 1083001671
-
dba CVS Pharmacy #07317
- Pharmacy
- North Wilkesboro, NC
- NPI 1063515542
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
6350 Weddington Rd
Wesley Chapel, NC 28104
Phone (704) 234-5272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479340800000",
"number": "1073774162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "MAIL CODE 1090",
"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": "6350 WEDDINGTON RD",
"city": "WESLEY CHAPEL",
"state": "NC",
"postal_code": "281047925",
"telephone_number": "704-234-5272",
"fax_number": "704-234-5282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH CAROLINA CVS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-20",
"last_updated": "2016-11-17",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "SR. DIRECTOR, PAYER RELATIONS",
"authorized_official_telephone_number": "401-770-2751"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "10122",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2067384",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS Pharmacy #17458",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wesley Chapel, NC
- Micah McGowan, PA
- Natalie Sarah Miller, PAC
- Jennifer Ann Mock, M.D.
- Virginia Jeanne Kearney Moore, PA-C
- Murdock and Murdock, DDS, Ms, PA (Murdock Orthodontics)
- Novant Health Medical Group, LLC (Novant Health Carmel OB/GYN)
- Novant Health Medical Group, LLC (Novant Health Child & Adolescent Medical Group)
- Novant Health Medical Group, LLC (Novant Health Southern Piedmont Primary Care)
- Tiffany Madsen Ohta, MD
- Roshni Parag Patel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.