NPIMap

Organization Active NPI

CVS Pharmacy

  • Pharmacist
  • Peoria, AZ
National Provider Identifier
1174941249
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11294 Issued in AZ
Legal business name
CVS PHARMACY
Practice address
9856 W Peoria Ave
Peoria, AZ 85345-6110
Phone
(623) 977-8260
Fax
(623) 876-0650
NPI assigned
Apr 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah Remblake, PHARMD
Title
Pharmacist
Phone
(623) 977-8260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 11294 AZ Primary

Addresses

Primary practice location

9856 W Peoria Ave
Peoria, AZ 85345-6110

Mailing address

9856 W Peoria Ave
Peoria, AZ 85345-6110
Phone (623) 977-8260

National Provider Directory

National Provider Directory
Tax ID family
Costco Pharmacy44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1174941249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9856 W PEORIA AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456110",
            "telephone_number": "623-977-8260",
            "fax_number": "623-876-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9856 W PEORIA AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456110",
            "telephone_number": "623-977-8260",
            "fax_number": "623-876-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "REMBLAKE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "623-977-8260",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "11294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.