CVS Pharmacy, Inc.
Organization Active NPI Pharmacy · Houston, TX
NPI 1083225528 · NPPES record last updated Oct 7, 2020
Key facts
- NPI
- 1083225528
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- CVS PHARMACY, INC.
- Practice address
- 110 E. Richey Rd
Houston, TX 77090-5802 - Phone
- (281) 885-1482
- NPI assigned
- Aug 10, 2020
- Organization subpart
- No
Authorized official
- Name
- Susan F Colbert
- Title
- Sr. Director
- Phone
- (401) 770-2751
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090408000170 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092711895 | This NPI is an additional NPI on the enrollment |
| O20201027001130 | TX | DME Supplier - Pharmacy | 5092711895 | Practice locations: Houston, TX |
National Provider Directory
- Tax ID family
- CVS Pharmacy Inc Agent for CVS RX Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
110 E. Richey Rd
Houston, TX 77090-5802
Mailing address
One CVS Drive
PO Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other names
- CVS PHARMACY # 11326
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.