Pennsylvania CVS Pharmacy, L.L.C.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP412027L Issued in PA

Legal business name

PENNSYLVANIA CVS PHARMACY, L.L.C.

Practice address

3519 Nazareth Rd
Easton, PA 18045-2712

Phone

(610) 258-3691

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Susan F Colbert

Title

Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY #01305 Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Pennsylvania CVS Pharmacy LLC431 organizations share this tax ID, including this one

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.

• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Reading, PA
  • NPI 1194828939
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • New Castle, PA
  • NPI 1194828947
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Tunkhannock, PA
  • NPI 1194829945
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Exton, PA
  • NPI 1194962571
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Reading, PA
  • NPI 1205274073
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Erie, PA
  • NPI 1215030077
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Philadelphia, PA
  • NPI 1235151978
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Pittsburgh, PA
  • NPI 1235212861
  NPD tax ID
• Pennsylvania CVS Pharmacy, L.L.C

  • Pharmacy
  • Scranton, PA
  • NPI 1245334085
  NPD tax ID
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • Dickson City, PA
  • NPI 1194823831
  NPD tax ID
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • Lemoyne, PA
  • NPI 1194829929
  NPD tax ID
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • Frazer, PA
  • NPI 1194974485
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1215038773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075 PHARMACY ENROLLMENTS",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 NAZARETH RD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452712",
            "telephone_number": "610-258-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA CVS PHARMACY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP412027L",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3961251",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY #01305",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Penn Counseling LLC
• Shannon Michelle Pennella, DPT
• Pennsylvania CVS Pharmacy LLC
• Pennsylvania CVS Pharmacy LLC
• Pennsylvania CVS Pharmacy LLC
• Pennsylvania CVS Pharmacy, L.L.C.
• Pennsylvania Integrative Clinical Services, Inc.
• Suzanne Virginia Peppell, ND
• Kristy Jean Pereira, MPT, CERT. MDT
• Ileana Jasiri Perez-Figueroa, MD

• Pharmacy in Easton, PA
• Providers in Easton, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.