NPIMap

Organization Active NPI

CVS

  • Pharmacist
  • Madison, CT
National Provider Identifier
1205287653
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12364 Issued in CT
Legal business name
CVS
Practice address
613 Boston Post Rd
Madison, CT 06443-3080
Phone
(203) 245-3165
Fax
(203) 245-4226
NPI assigned
Jun 28, 2016
Last updated
Jun 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Scott Gallagher, RPH
Title
Pharmacist
Phone
(603) 264-0037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 12364 CT Primary

Addresses

Primary practice location

613 Boston Post Rd
Madison, CT 06443-3080

Mailing address

613 Boston Post Rd
Madison, CT 06443-3080
Phone (203) 245-3165

National Provider Directory

National Provider Directory
Tax ID family
CVS Pharmacy1,253 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

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": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1205287653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 BOSTON POST RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433080",
            "telephone_number": "203-245-3165",
            "fax_number": "203-245-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 BOSTON POST RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433080",
            "telephone_number": "203-245-3165",
            "fax_number": "203-245-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "603-264-0037",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "12364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.