Organization Active NPI

CVS

  • Health Maintenance Organization
  • Cypress, CA
National Provider Identifier
1114378577
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
35189 Issued in CA
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

Updated by the provider on Jun 28, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.