Organization Active NPI

CVS Pharmacy

  • Pharmacist
  • Matthews, NC
National Provider Identifier
1184030462
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24211 Issued in NC
Legal business name
CVS PHARMACY
Practice address
3310 Siskey Pkwy
Matthews, NC 28105-3222
Phone
(704) 849-2271
NPI assigned
Jul 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Vantonile Vien Bui, PHARMD
Title
Pharmacist
Phone
(717) 315-6103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 24211 NC Primary

Addresses

Primary practice location

3310 Siskey Pkwy
Matthews, NC 28105-3222

Mailing address

1509 Mainline Blvd
Apt 6202
Charlotte, NC 28203-0518
Phone (717) 315-6103

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1184030462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 MAINLINE BLVD",
            "address_2": "APT 6202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282030518",
            "telephone_number": "717-315-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 SISKEY PKWY",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281053222",
            "telephone_number": "704-849-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "VANTONILE",
        "authorized_official_middle_name": "VIEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "717-315-6103",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "24211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.