Active NPI
CVS Albany, L.L.C.
- Pharmacy
- Hilton, NY
National Provider Identifier
1124121967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 20501
- Legal business name
- CVS ALBANY, L.L.C.
- Practice address
- 84 South Ave
Hilton, NY 14468-1512 - Phone
- (585) 392-9440
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Susan F Colbert
- Title
- Director, Payer Relations
- Phone
- (401) 770-2751
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091103000102 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 0941347421 | This NPI is an additional NPI on the enrollment |
| O20100930073702 | NY | DME Supplier - Pharmacy | 0941347421 | Practice locations: Hilton, NY |
| O20260501002874 | NY | Part B Supplier - Pharmacy | 0941347421 |
This NPI is an additional NPI on the enrollment Practice locations: Lindenhurst, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Cvscaremark
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
- Smithtown, NY
- NPI 1104920925
-
- Pharmacy
- New York, NY
- NPI 1104920941
-
- Pharmacy
- Peekskill, NY
- NPI 1104929934
-
- Pharmacy
- Valley Stream, NY
- NPI 1114020948
-
- Pharmacy
- Whitehall, NY
- NPI 1114020955
-
- Pharmacy
- Chester, NY
- NPI 1114021870
-
- Pharmacy
- Northport, NY
- NPI 1114021888
-
- Pharmacy
- Rochester, NY
- NPI 1114021961
-
- Pharmacy
- Jackson Heights, NY
- NPI 1114025756
-
- Pharmacy
- Brooklyn, NY
- NPI 1114949765
-
- Pharmacy
- Schenectady, NY
- NPI 1124040779
-
- Pharmacy
- Clifton Park, NY
- NPI 1124122882
Locations
84 South Ave
Hilton, NY 14468
Phone (585) 392-9440
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 20501 | NY | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
NPPES NPI RegistryPrimary practice location
84 South Ave
Hilton, NY 14468-1512
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 |
|---|---|---|---|
| 3366499 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 00464237 | Medicaid | NY |
Other names 1
NPPES NPI Registry- CVS PHARMACY # 05076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2011.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302220800000",
"number": "1124121967",
"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": "84 SOUTH AVE",
"city": "HILTON",
"state": "NY",
"postal_code": "144681512",
"telephone_number": "585-392-9440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS ALBANY, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2011-04-08",
"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": "NY",
"license": "20501",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3366499",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00464237",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY # 05076",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hilton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.