New Jersey CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

RS00652700 Issued in NJ

Legal business name

NEW JERSEY CVS PHARMACY LLC

Practice address

1103 Route 46
Ledgewood, NJ 07852-9738

Phone

(976) 927-4662

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 Colbert

Title

Director

Phone

(401) 765-1500

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY 01780 Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 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.

Medicare medical equipment & supply locations

Tax ID family

New Jersey CVS Pharmacy LLC336 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.

• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Leonia, NJ
  • NPI 1134211733
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Paramus, NJ
  • NPI 1134365570
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Mendham, NJ
  • NPI 1134621733
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Passaic, NJ
  • NPI 1144312612
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Malaga, NJ
  • NPI 1144312745
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Jersey City, NJ
  • NPI 1154343770
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Ocean City, NJ
  • NPI 1154404218
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Stratford, NJ
  • NPI 1154405702
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Williamstown, NJ
  • NPI 1154413748
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Matawan, NJ
  • NPI 1154413755
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Bridgewater, NJ
  • NPI 1154734820
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Garfield, NJ
  • NPI 1164514899
  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

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1164520987",
    "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": "1103 ROUTE 46",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078529738",
            "telephone_number": "976-927-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "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": "RS00652700",
            "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": "3193000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY 01780",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CVS PHARMACY 01780",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Ledgewood, NJ
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.