Active NPI
New Jersey CVS Pharmacy LLC
- Pharmacy
- Williamstown, NJ
National Provider Identifier
1154413748
On this page
- Key facts
- Authorized official
- Corporate family (same tax ID)24
- Member of1
- Laboratory certificates & supplier records
- Medicare participation
- Medicare enrollment records2
- National Provider Directory
- Specialties & licenses3
- Addresses
- Other identifiers1
- Other names1
- NPI Registry JSON
- Other providers in Williamstown, NJ
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 5727
- Legal business name
- NEW JERSEY CVS PHARMACY LLC
- Practice address
- 2305 Glassboro Cross Keys Rd
Williamstown, NJ 08094-8905 - Phone
- (609) 307-7580
- NPI assigned
- Sep 29, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Susan Colbert
- Title
- Director
- Phone
- (401) 765-1500
Corporate family (same tax ID) 24
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- North Arlington, NJ
- NPI 1124110721
-
- Pharmacy
- Monmouth Junction, NJ
- NPI 1124235999
-
- Pharmacy
- Paramus, NJ
- NPI 1124277884
-
- Pharmacy
- Highlands, NJ
- NPI 1134211618
-
- Pharmacy
- Leonia, NJ
- NPI 1134211733
-
- Pharmacy
- Paramus, NJ
- NPI 1134365570
-
- Pharmacy
- Mendham, NJ
- NPI 1134621733
-
- Pharmacy
- Passaic, NJ
- NPI 1144312612
-
- Pharmacy
- Malaga, NJ
- NPI 1144312745
-
- Pharmacy
- Jersey City, NJ
- NPI 1154343770
-
- Pharmacy
- Ocean City, NJ
- NPI 1154404218
-
- Pharmacy
- Stratford, NJ
- NPI 1154405702
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
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.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D1073177 | New Jersey CVS Pharmacy, LLC | Certificate of waiver | Nov 19, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #02302 | 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 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100830000881 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 2365566288 | This NPI is an additional NPI on the enrollment |
| O20100930055018 | NJ | DME Supplier - Pharmacy | 3678777851 | Practice locations: Williamstown, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- New Jersey CVS Pharmacy LLC
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 5727 | NJ | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
NPPES NPI RegistryPrimary practice location
2305 Glassboro Cross Keys Rd
Williamstown, NJ 08094-8905
Mailing address
1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3141152 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
NPPES NPI Registry- CVS PHARMACY 02302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2010.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288828800000",
"number": "1154413748",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 GLASSBORO CROSS KEYS RD",
"city": "WILLIAMSTOWN",
"state": "NJ",
"postal_code": "080948905",
"telephone_number": "609-307-7580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW JERSEY CVS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2010-11-04",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "401-765-1500"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NJ",
"license": "5727",
"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": "3141152",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY 02302",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Williamstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.