Active NPI
CVS Pharmacy Inc
- Pharmacy
- Plano, TX
National Provider Identifier
1295839082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 24912
- Legal business name
- CVS PHARMACY INC
- Practice address
- 2454 Jupiter Rd
Plano, TX 75074-4904 - Phone
- (972) 578-8607
- Fax
- (972) 424-6719
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cristiana Mauricio
- Title
- MGR Phcy Enrollments
- Phone
- (401) 770-2937
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 24912 | TX | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
2454 Jupiter Rd
Plano, TX 75074-4904
Mailing address
1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4562941 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 000462011 | Medicaid | TX |
Other names 1
- CVS PHARMACY #07287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090408000170 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092711895 | This NPI is an additional NPI on the enrollment |
| O20100930058260 | TX | DME Supplier - Pharmacy | 5092711895 | Practice locations: Plano, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2281458 | CVS Pharmacy, Inc | Certificate of waiver | May 7, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #07287 | Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urologic… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- CVS Pharmacy Inc Agent for CVS RX Services Inc
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.
-
- Pharmacy
- Houston, TX
- NPI 1285731687
-
- Pharmacy
- Houston, TX
- NPI 1285738013
-
- Pharmacy
- Huntsville, TX
- NPI 1285738096
-
- Pharmacy
- Dumas, TX
- NPI 1295027811
-
- Pharmacy
- Laredo, TX
- NPI 1295144996
-
- Pharmacy
- Frisco, TX
- NPI 1295316388
-
- Pharmacy
- Fulshear, TX
- NPI 1295691053
-
- Pharmacy
- McAllen, TX
- NPI 1295757953
-
- Pharmacy
- Dallas, TX
- NPI 1295818516
-
- Pharmacy
- Dallas, TX
- NPI 1295839009
-
- Pharmacy
- Houston, TX
- NPI 1295839090
-
- Pharmacy
- San Antonio, TX
- NPI 1306148473
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Plano, TX
- NPI 1376148908
-
- Pharmacist
- Plano, TX
- NPI 1780280644
-
- Pharmacist
- Plano, TX
- NPI 1518563543
-
- Community/Retail Pharmacy
- Plano, TX
- NPI 1992551295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425254400000",
"number": "1295839082",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2454 JUPITER RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750744904",
"telephone_number": "972-578-8607",
"fax_number": "972-424-6719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2015-03-02",
"status": "A",
"authorized_official_last_name": "MAURICIO",
"authorized_official_first_name": "CRISTIANA",
"authorized_official_title_or_position": "MGR PHCY ENROLLMENTS",
"authorized_official_telephone_number": "401-770-2937"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "24912",
"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": "4562941",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000462011",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY #07287",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.