North Carolina CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

6796 Issued in NC

Legal business name

NORTH CAROLINA CVS PHARMACY LLC

Practice address

1131 Randolph St
Thomasville, NC 27360-5749

Phone

(336) 475-0106

NPI assigned

Sep 7, 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 2

Other names 1

• CVS PHARMACY #04284 Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 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.

Medicare medical equipment & supply locations

Tax ID family

North Carolina CVS Pharmacy324 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.

• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Burnsville, NC
  • NPI 1255434023
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Madison, NC
  • NPI 1255434924
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Raeford, NC
  • NPI 1265535934
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Valdese, NC
  • NPI 1265591317
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Charlotte, NC
  • NPI 1265626394
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Wake Forest, NC
  • NPI 1285656074
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Garner, NC
  • NPI 1285738955
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Durham, NC
  • NPI 1285741330
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Swannanoa, NC
  • NPI 1295026565
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Whitsett, NC
  • NPI 1295839967
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Charlotte, NC
  • NPI 1295852606
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Smithfield, NC
  • NPI 1306949094
  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": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1295838738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "PO BOX 1075",
            "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": "1131 RANDOLPH ST",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273605749",
            "telephone_number": "336-475-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-06-15",
        "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": "NC",
            "license": "6796",
            "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": "MEDICARE RR",
            "identifier": "P00754583",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3415329",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY #04284",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Thomasville, NC
• Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.