Organization Active NPI

CVS/Pharmacy #9293

  • Community/Retail Pharmacy
  • Apache Junction, AZ
National Provider Identifier
1093135691
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
S019677 Issued in AZ
Legal business name
CVS/PHARMACY #9293
Practice address
325 W Apache TRL
Apache Junction, AZ 85120-3954
Phone
(480) 973-1129
Fax
(480) 983-1547
NPI assigned
Apr 22, 2014
Last updated
Apr 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
Mr. David Crenshaw Smith, R.PH.
Title
Staff Pharmacist
Phone
(480) 983-1129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X S019677 AZ Primary

Addresses

Primary practice location

325 W Apache TRL
Apache Junction, AZ 85120-3954

Mailing address

1848 S Power Rd
Apt 2323
Mess, AZ 85206
Phone (270) 480-3066

National Provider Directory

National Provider Directory
Tax ID family
Cvscaremark64 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

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

View all 18

Locations

325 W Apache Trl
Apache Junction, AZ 85120
Phone (480) 973-1129

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1093135691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 S POWER RD",
            "address_2": "APT 2323",
            "city": "MESS",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "270-480-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W APACHE TRL",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851203954",
            "telephone_number": "480-973-1129",
            "fax_number": "480-983-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS/PHARMACY #9293",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CRENSHAW",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "480-983-1129",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "S019677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.