NPIMap

Organization Active NPI

CVS/Pharmacy

  • Community/Retail Pharmacy
  • Wilmington, NC
National Provider Identifier
1083023378
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
23432 Issued in NC
Legal business name
CVS/PHARMACY
Practice address
1712 Eastwood Rd
Wilmington, NC 28403-3641
Phone
(910) 256-3761
Fax
(910) 256-9345
NPI assigned
Aug 12, 2014
Last updated
Aug 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Justin Timothy Roten, PHARMD
Title
Staff Pharmacist
Phone
(910) 256-3761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 23432 NC Primary

Addresses

Primary practice location

1712 Eastwood Rd
Wilmington, NC 28403-3641

Mailing address

124 Mendenhall Dr
Wilmington, NC 28411-9108
Phone (704) 219-5135

National Provider Directory

National Provider Directory
Tax ID family
CVS Pharmacy Inc Agent for CVS RX Services Inc1,253 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

1712 Eastwood Rd
Wilmington, NC 28403
Phone (910) 256-3761

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1083023378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MENDENHALL DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119108",
            "telephone_number": "704-219-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 EASTWOOD RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033641",
            "telephone_number": "910-256-3761",
            "fax_number": "910-256-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS/PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "ROTEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "910-256-3761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "23432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.