NPIMap

Organization Active NPI

CVS

  • Pharmacist
  • Walnut Cove, NC
National Provider Identifier
1093180242
Registry record updated Dec 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
CVS
Practice address
610 N Main St
Walnut Cove, NC 27052-9248
Phone
(336) 591-4351
NPI assigned
Dec 13, 2015
Last updated
Dec 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2015

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

Authorized official

Name
Kaci Lee SheltonNPI 1134584873
Title
Pharmacist
Phone
(423) 817-5001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X NU Primary

Addresses

Primary practice location

610 N Main St
Walnut Cove, NC 27052-9248

Mailing address

610 N Main St
Walnut Cove, NC 27052-9248

National Provider Directory

National Provider Directory
Tax ID family
CVS Caremark63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 9

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

Locations

610 N Main St
Walnut Cove, NC 27052
Phone (336) 591-4351

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449964800000",
    "number": "1093180242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MAIN ST",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270529248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MAIN ST",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270529248",
            "telephone_number": "336-591-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-13",
        "last_updated": "2015-12-13",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "KACI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "423-817-5001"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Cove, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2015; 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.