Organization Active NPI

CVS Pharmacy

  • Clinic/Center
  • Staten Island, NY
National Provider Identifier
1245654037
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
056990 Issued in NY
Legal business name
CVS PHARMACY
Practice address
2045 Forest Ave
Staten Island, NY 10303-1734
Phone
(718) 982-8019
NPI assigned
Feb 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Ms. Yelena Rabinovich, PHARMD.
Title
Pharmacist
Phone
(347) 834-2958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 056990 NY Primary

Addresses

Primary practice location

2045 Forest Ave
Staten Island, NY 10303-1734

Mailing address

2045 Forest Ave
Staten Island, NY 10303-1734
Phone (718) 982-8019

National Provider Directory

National Provider Directory
Tax ID family
CVS Caremark Corporation63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

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": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1245654037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031734",
            "telephone_number": "718-982-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031734",
            "telephone_number": "718-982-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "RABINOVICH",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "347-834-2958",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "056990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.