Active NPI
North Carolina CVS Pharmacy LLC
Doing business as CVS Pharmacy #07539
- Pharmacy
- Salisbury, NC
National Provider Identifier
1124121819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 6769
- Legal business name
- NORTH CAROLINA CVS PHARMACY LLC
- Doing business as
- CVS Pharmacy #07539
- Practice address
- 1924 Statesville Blvd
Salisbury, NC 28144-2035 - Phone
- (704) 636-1616
- NPI assigned
- Sep 7, 2006
- Last updated
- Jun 15, 2011
- 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
- Director, Payer Relations
- Phone
- (401) 770-2751
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 6769 | NC | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1924 Statesville Blvd
Salisbury, NC 28144-2035
Mailing address
1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other names 1
- CVS PHARMACY #07539
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 |
| O20110606000180 | NC | DME Supplier - Pharmacy | 9133200017 | Practice locations: Salisbury, 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 |
|---|---|---|
| North Carolina CVS Pharmacy LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308096000000",
"number": "1124121819",
"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": "1924 STATESVILLE BLVD",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442035",
"telephone_number": "704-636-1616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH CAROLINA CVS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2011-06-15",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "DIRECTOR, PAYER RELATIONS",
"authorized_official_telephone_number": "401-770-2751"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NC",
"license": "6769",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY #07539",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Salisbury, NC
- Lauren Barrett Nolan, PA-C
- Marlon Nolen, MSW, LCSW
- Brett Alan Norem, R.PH.
- Bryant Norman Jr., DDS
- Latrisa Laury Norris, LCSWA
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #03592)
- Northland Hearing Centers, Inc. (All American Hearing)
- Melissa Notemyer, NP
- Novant Health Employer Solutions, LLC (Gildan Wellness Center)
- Novant Health Employer Solutions, LLC (Novant Health Rowan County Government Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.