Active NPI
CVS Pharmacy Inc
- Pharmacy
- Corpus Christi, TX
National Provider Identifier
1104920909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 24669
- Legal business name
- CVS PHARMACY INC
- Practice address
- 14525 S Padre Island Dr
Suite B
Corpus Christi, TX 78418-5951 - Phone
- (361) 939-8178
- Fax
- (361) 939-9152
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Susan Colbert
- Title
- Director, Payer Relations
- Phone
- (401) 770-2751
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2224931 | CVS Pharmacy, Inc Dba CVS/Pharmacy #07471 | Certificate of waiver | May 16, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #07471 | Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urologic… | Does not accept assignment |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090408000170 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092711895 | This NPI is an additional NPI on the enrollment |
| O20100930057267 | TX | DME Supplier - Pharmacy | 5092711895 | Practice locations: Corpus Christi, TX |
National Provider Directory
National Provider Directory- Tax ID family
- CVS Pharmacy Inc Agent for CVS RX Services Inc
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.
-
- Pharmacy
- Ft Worth, TX
- NPI 1083718878
-
- Pharmacy
- Dallas, TX
- NPI 1083718886
-
- Pharmacy
- Pearland, TX
- NPI 1093120412
-
- Pharmacy
- Dallas, TX
- NPI 1093812497
-
- Pharmacy
- Houston, TX
- NPI 1093819807
-
- Pharmacy
- Paris, TX
- NPI 1093819831
-
- Pharmacy
- Plainview, TX
- NPI 1093896425
-
- Pharmacy
- La Marque, TX
- NPI 1104204577
-
- Pharmacy
- Schertz, TX
- NPI 1104381474
-
- Pharmacy
- Clear Lake Shores, TX
- NPI 1104848860
-
- Pharmacy
- Wharton, TX
- NPI 1104920933
-
- Pharmacy
- San Marcos, TX
- NPI 1104920990
Locations
10309 S Padre Island Dr
Ste B
Corpus Christi, TX 78418
14525 S Padre Island Dr
Ste B
Corpus Christi, TX 78418
Phone (361) 939-8178
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 24669 | TX | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
NPPES NPI RegistryPrimary practice location
14525 S Padre Island Dr
Suite B
Corpus Christi, TX 78418-5951
Mailing address
1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000463068 | Medicaid | TX | |
| 4580177 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
NPPES NPI Registry- CVS PHARMACY #07471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2015.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425600000000",
"number": "1104920909",
"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",
"telephone_number": "401-765-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14525 S PADRE ISLAND DR",
"address_2": "SUITE B",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784185951",
"telephone_number": "361-939-8178",
"fax_number": "361-939-9152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2015-03-06",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "DIRECTOR, PAYER RELATIONS",
"authorized_official_telephone_number": "401-770-2751"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "24669",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000463068",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4580177",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY #07471",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.