Active NPI
Carecenter Pharmacy, L.L.C.
Doing business as CVS Pharmacy # 11508
- Pharmacy
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- CARECENTER PHARMACY, L.L.C.
- Doing business as
- CVS Pharmacy # 11508
- Practice address
- 1 Cameron Hill Cir
Chattanooga, TN 37402-9815 - Phone
- (423) 508-1100
- NPI assigned
- Nov 4, 2021
- Last updated
- Dec 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan F Colbert
- Title
- Sr. Director, Payer Relations
- Phone
- (401) 770-2751
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | NU | Primary | |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
1 Cameron Hill Cir
Chattanooga, TN 37402-9815
Mailing address
1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other names 1
- CVS PHARMACY # 11508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110512000562 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 0446456826 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chattanooga, TN; Nashville, TN |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba CarePlus CVS/pharmacy #02703
- Pharmacy
- Nashville, TN
- NPI 1740329119
O20110512000562
National Provider Directory
National Provider Directory- Tax ID family
- Tennessee CVS Pharmacy LLC
Organizations with this tax ID in the same state 22
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
5070 Rockwell Dr NE
#11142
Cedar Rapids, IA 52402
Phone (319) 423-6226
711 High St
Bldg 1
Des Moines, IA 50392
Phone (515) 244-8100
69 W Washington St
Chicago, IL 60602
Phone (312) 629-1621
69 W Washington St
Lowr LL09
Chicago, IL 60602
Phone (312) 629-1621
4 Overlook Pt
#A
Lincolnshire, IL 60069
Phone (847) 793-0936
4 Overlook Pt
Bldg A
Lincolnshire, IL 60069
Phone (847) 793-0936
2666 Riva Rd
Ste 110
Annapolis, MD 21401
Phone (410) 573-1635
800 Chrysler Dr
Ste W2001
Auburn Hills, MI 48326
Phone (248) 642-1111
909 Chestnut St
Ste 105
Saint Louis, MO 63101
Phone (214) 588-0356
1 Att Way
#1B110
Bedminster, NJ 07921
Phone (908) 719-6592
2000 Galloping Hill Rd
Kenilworth, NJ 07033
Phone (908) 298-2830
3 Penn Plz E
#1P
Newark, NJ 07105
Phone (973) 589-1373
1200 Harbor Blvd
Weehawken, NJ 07086
Phone (201) 330-8147
106 S Main St
Akron, OH 44308
Phone (330) 849-8509
106 S Main St
#2932
Akron, OH 44308
Phone (330) 849-8509
1 Nationwide Plz
#2727
Columbus, OH 43215
Phone (614) 222-0045
2515 Park Plz
#100
Nashville, TN 37203
Phone (605) 320-7654
530 McCullough Ave
#4749
San Antonio, TX 78215
Phone (210) 271-2948
7034 Alamo Downs Pkwy
Ste B
San Antonio, TX 78238
Phone (210) 706-2419
9800 Fredericksburg Rd
#10822
San Antonio, TX 78288
Phone (210) 498-3784
W165N5800 Ridgewood Dr
Menomonee Falls, WI 53051
Phone (262) 252-1060
W165N5800 Ridgewood Dr
#200
Menomonee Falls, WI 53051
Phone (262) 703-3386
W165N5800 Ridgewood Dr
Ste 200
Menomonee Falls, WI 53051
Phone (262) 703-3386
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Pharmacist
- Dallas, TX
- NPI 1033479001
-
- Pharmacist
- Weehawken, NJ
- NPI 1952548414
-
- Pharmacist
- Chicago, IL
- NPI 1639772221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639612800000",
"number": "1093470031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "BOX 1075",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146",
"telephone_number": "401-765-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CAMERON HILL CIR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374029815",
"telephone_number": "423-508-1100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARECENTER PHARMACY, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-04",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "SR. DIRECTOR, PAYER RELATIONS",
"authorized_official_telephone_number": "401-770-2751"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY # 11508",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CVS PHARMACY # 11508",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.