Active NPI
Ohio CVS Stores LLC
Doing business as CVS Pharmacy # 01223
- Pharmacy
- Grove City, OH
National Provider Identifier
1154418325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 021627350
- Legal business name
- OHIO CVS STORES LLC
- Doing business as
- CVS Pharmacy # 01223
- Practice address
- 3575 Broadway
Grove City, OH 43123-2240 - Phone
- (614) 875-0261
- NPI assigned
- Oct 6, 2006
- Last updated
- Dec 2, 2010
- 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 Colbert
- Title
- Director
- Phone
- (401) 765-1500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 021627350 | OH | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
3575 Broadway
Grove City, OH 43123-2240
Mailing address
One CVS Drive
Box 1075-Pharmacy Enrollments
Woonsocket, RI 02895
Phone (401) 765-1500
Other names 1
- CVS Pharmacy # 01223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930030008 | OH | DME Supplier - Pharmacy | 4981806023 | Practice locations: Grove City, OH |
| O20101111000369 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 4981806023 | This NPI is an additional NPI on the enrollment |
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 |
|---|---|---|---|
| 36D2185906 | Ohio CVS Stores, LLC Dba | Certificate of waiver | Jun 10, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #01223 | Immunosuppressive 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|Urological Supplies|Ent… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Ohio CVS Stores LLC
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.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Grove City, OH
- NPI 1114542925
-
- Pharmacist
- Grove City, OH
- NPI 1306441191
-
- Pharmacist
- Grove City, OH
- NPI 1477157683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291248000000",
"number": "1154418325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE CVS DRIVE",
"address_2": "BOX 1075-PHARMACY ENROLLMENTS",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "02895",
"telephone_number": "401-765-1500",
"fax_number": "401-770-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3575 BROADWAY",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431232240",
"telephone_number": "614-875-0261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHIO CVS STORES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2010-12-02",
"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": "OH",
"license": "021627350",
"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 # 01223",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Grove City, OH
- Mark Oblaczynski
- Angela Joy Odell, FNP-C
- Christiana Oduro, MD
- Ohio Addiction Recovery Center
- Ohio Addiction Recovery Center
- Ohio CVS Stores LLC (CVS Pharmacy #05458)
- Ohio CVS Stores LLC (CVS Pharmacy 06192)
- Ohio CVS Stores LLC (CVS Pharmacy #)
- Ohio Dental Professionals, Delisle, P.C. (Town Center Dentistry)
- Ohio Ear LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.