CVS Health

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

60385 Issued in CA

Legal business name

CVS HEALTH

Practice address

1792 Garnet Ave
San Diego, CA 92109-3350

Phone

(858) 483-1489

Fax

(858) 483-2237

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Diana L Telahun, PHARMD

Title

Pharmacist

Phone

(858) 483-1489

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1194271189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093350",
            "telephone_number": "858-483-1489",
            "fax_number": "858-483-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093350",
            "telephone_number": "858-483-1489",
            "fax_number": "858-483-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "TELAHUN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "858-483-1489",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "60385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Andre Cuttone, DO
• Shanoe Cutts, MD
• Adnan Cutuk, MD
• Andrew Cuyegkeng
• Kelly Cuyjet
• CVS Pharmacy
• Michelle Joyce Cyganik, M.S.C/MFC
• Anna Leigh Cymbaluk, MD
• Trisha Lyn Cymbor
• Cynthia M Williams a Professional Medical Corporation

• Preferred Provider Organization in San Diego, CA
• Providers in San Diego, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.