Active NPI
CVS
- Community/Retail Pharmacy
- Prescott, AZ
National Provider Identifier
1184041154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- S012175
- Legal business name
- CVS
- Practice address
- 506 Miller Valley Rd
Prescott, AZ 86301-2314 - Phone
- (928) 442-0312
- Fax
- (928) 442-0321
- NPI assigned
- Mar 27, 2014
- Last updated
- Mar 27, 2014
- 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
- Angela Rosa Flores Gonzalez, RPH
- Title
- Pharmacist
- Phone
- (928) 442-0312
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | S012175 | AZ | Primary |
Addresses
Primary practice location
506 Miller Valley Rd
Prescott, AZ 86301-2314
Mailing address
506 Miller Valley Rd
Prescott, AZ 86301-2314
Phone (928) 442-0312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S012175 | Other | AZ | PHARMACIST |
National Provider Directory
National Provider Directory- Tax ID family
- CVS Pharmacy
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395878400000",
"number": "1184041154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 MILLER VALLEY RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863012314",
"telephone_number": "928-442-0312",
"fax_number": "928-442-0321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 MILLER VALLEY RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863012314",
"telephone_number": "928-442-0312",
"fax_number": "928-442-0321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-27",
"last_updated": "2014-03-27",
"status": "A",
"authorized_official_last_name": "FLORES GONZALEZ",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "ROSA",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "928-442-0312",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AZ",
"license": "S012175",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "S012175",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.