Active NPI
CVS
- Health Maintenance Organization
- Cypress, CA
National Provider Identifier
1114378577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 35189
- Legal business name
- CVS
- Practice address
- 11358 Cuttyhunk CT
Cypress, CA 90630-5439 - Phone
- (562) 208-1115
- NPI assigned
- Jun 28, 2016
- 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
- Ms. Sheila Modesta Rivera
- Title
- Pharmacist
- Phone
- (562) 208-1115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 35189 | CA | Primary |
Addresses
Primary practice location
11358 Cuttyhunk CT
Cypress, CA 90630-5439
Mailing address
1387 W Whittier Blvd
La Habra, CA 90631-3612
Phone (562) 691-1721
National Provider Directory
National Provider DirectoryLocations
1387 W Whittier Blvd
La Habra, CA 90631
Phone (562) 691-1721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467072000000",
"number": "1114378577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1387 W WHITTIER BLVD",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906313612",
"telephone_number": "562-691-1721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11358 CUTTYHUNK CT",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906305439",
"telephone_number": "562-208-1115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-28",
"last_updated": "2016-06-28",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "SHEILA",
"authorized_official_middle_name": "MODESTA",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "562-208-1115",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "CA",
"license": "35189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.