CVS

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

S022277 Issued in AZ

Legal business name

CVS

Practice address

4151 E Highway 90
Sierra Vista, AZ 85635-2425

Phone

(520) 452-7929

Fax

(520) 226-3487

NPI assigned

Dec 8, 2016

Last updated

Dec 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ellie Kantos

Title

District Pharmacy Manager

Phone

(480) 435-6433

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1093259160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 E HIGHWAY 90",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352425",
            "telephone_number": "520-452-7929",
            "fax_number": "520-226-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 E HIGHWAY 90",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352425",
            "telephone_number": "520-452-7929",
            "fax_number": "520-226-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "KANTOS",
        "authorized_official_first_name": "ELLIE",
        "authorized_official_title_or_position": "DISTRICT PHARMACY MANAGER",
        "authorized_official_telephone_number": "480-435-6433"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "S022277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Kae Creech, RN
• Matthew Crosby, D.O.
• Pamela Lynne Crouch
• Sofia Anna Crowe, LCSW
• Pefy Cunningham, LCSW
• Steven K Dahlke, MD. PEDIATRICS
• Geneva Daneker, FNP
• Daniels Creek Group, LLC (Compass Rose Psychiatry)
• Kelly Danielson
• Eva Danino, HADE14920

• Community/Retail Pharmacy in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.