Active NPI
North Carolina CVS Pharmacy, L.L.C
Doing business as CVS Pharmacy #11348
- Community/Retail Pharmacy
- Newport, NC
National Provider Identifier
1114014081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 12156
- Legal business name
- NORTH CAROLINA CVS PHARMACY, L.L.C
- Doing business as
- CVS Pharmacy #11348
- Practice address
- 129 Nine Foot Road
Newport, NC 28570-9251 - Phone
- (252) 777-4279
- Fax
- (252) 223-3090
- NPI assigned
- Oct 10, 2006
- Last updated
- Aug 6, 2019
- 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 Colbert
- Title
- Sr. Director, Payer Relations
- Phone
- (401) 770-2751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 12156 | NC | Primary |
Addresses
Primary practice location
129 Nine Foot Road
Newport, NC 28570-9251
Mailing address
1 CVS Drive
Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other names 1
- CVS Pharmacy #11348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080116000795 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 9133200017 | This NPI is an additional NPI on the enrollment |
| O20190930000490 | NC | DME Supplier - Pharmacy | 9133200017 | Practice locations: Newport, NC |
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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy # 11348 | 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 |
National Provider Directory
National Provider Directory- Tax ID family
- CVS
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.
-
- Pharmacist
- Fayetteville, NC
- NPI 1083001671
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
129 Nine Foot Rd
Newport, NC 28570
Phone (252) 223-3080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565049600000",
"number": "1114014081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DRIVE",
"address_2": "BOX 1075",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146",
"telephone_number": "401-765-1500",
"fax_number": "252-223-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 NINE FOOT ROAD",
"city": "NEWPORT",
"state": "NC",
"postal_code": "285709251",
"telephone_number": "252-777-4279",
"fax_number": "252-223-3090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH CAROLINA CVS PHARMACY, L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2019-08-06",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "SR. DIRECTOR, PAYER RELATIONS",
"authorized_official_telephone_number": "401-770-2751"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "12156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS Pharmacy #11348",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Newport, NC
- Newport Dermatology PLLC
- Newport Developmental Center
- Newport House LLC (Newport House)
- Newport Osteopractic Physical Therapy LLC
- Newsouth Homecare Solutions Inc. (Home Helpers)
- Morgan Rachel Notel, LPC
- Nutrition Works, Inc.
- Oneals Drug Store of Newport Inc
- Open Water Medical, PA
- Nicole Kathryn Orlowski, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.