Pennsylvania CVS Pharmacy, L.L.C.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP412834L Issued in PA

Legal business name

PENNSYLVANIA CVS PHARMACY, L.L.C.

Practice address

630 Centerville Rd
Lancaster, PA 17601-1306

Phone

(717) 898-0308

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY #01668 Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Pennsylvania CVS Pharmacy LLC431 organizations share this tax ID, including this one

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.

• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Wynnewood, PA
  • NPI 1104356971
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Monroeville, PA
  • NPI 1104929959
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Philadelphia, PA
  • NPI 1114393063
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Lebanon, PA
  • NPI 1124126735
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Doylestown, PA
  • NPI 1144078726
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Carlisle, PA
  • NPI 1144242884
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Pittsburgh, PA
  • NPI 1144774795
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Mars, PA
  • NPI 1154614279
  NPD tax ID
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • Boothwyn, PA
  • NPI 1104920958
  NPD tax ID
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • Philadelphia, PA
  • NPI 1104920966
  NPD tax ID
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • Jersey Shore, PA
  • NPI 1104923606
  NPD tax ID
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • Schwenksville, PA
  • NPI 1104923697
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juanita Lum, PHARM D

  • Pharmacist
  • Lancaster, PA
  • NPI 1881299253
  NPD (past)
• Gina Tamanini, PHARMD

  • Pharmacist
  • Lancaster, PA
  • NPI 1184236614
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1124126867",
    "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": "630 CENTERVILLE RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011306",
            "telephone_number": "717-898-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA CVS PHARMACY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-09-12",
        "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": "PA",
            "license": "PP412834L",
            "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": "3943897",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY #01668",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca G. Pennell, M.D.
• Penneta Home Care Services LLC
• Carol A Pennington, RN
• Pennsylvania CVS Pharmacy LLC
• Pennsylvania CVS Pharmacy LLC
• Pennsylvania CVS Pharmacy, L.L.C.
• Pennsylvania CVS Pharmacy, L.L.C.
• Pennsylvania CVS Pharmacy, L.L.C.
• Pennsylvania CVS Pharmacy, L.L.C.
• Pennsylvania CVS Pharmacy, L.L.C.

• Pharmacy in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.

Verify at the official NPI Registry.