New Jersey CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

RS005095 Issued in NJ

Legal business name

NEW JERSEY CVS PHARMACY LLC

Practice address

7 W Main St
Freehold, NJ 07728-2209

Phone

(808) 462-0071

NPI assigned

Sep 29, 2006

Organization subpart

No

Name

Susan Colbert

Title

Director

Phone

(401) 765-1500

These 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

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Tax ID family

New Jersey CVS Pharmacy LLC336 organizations share this tax ID, including this one

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.

• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Upper Montclair, NJ
  • NPI 1043393366
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Ocean, NJ
  • NPI 1043625627
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Mullica Hill, NJ
  • NPI 1053687574
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Lawrenceville, NJ
  • NPI 1063504652
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Burlington Township, NJ
  • NPI 1063504660
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Dumont, NJ
  • NPI 1063595122
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Jersey City, NJ
  • NPI 1073479259
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Lakewood, NJ
  • NPI 1073605705
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Washington, NJ
  • NPI 1083183594
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Rockaway, NJ
  • NPI 1083636609
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Livingston, NJ
  • NPI 1083706550
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Middlesex, NJ
  • NPI 1083706717
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

Locations

• CVS PHARMACY 02015 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 3, 2010.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1083706709",
    "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": "7 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282209",
            "telephone_number": "808-462-0071"
        }
    ],
    "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": "RS005095",
            "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": "3136264",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY 02015",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Freehold, NJ
• Pharmacy in New Jersey

• 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.
• 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.

Verify at the official NPI Registry.