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CVS Pharmacy Inc

Organization Active NPI Pharmacist · Red Springs, NC

NPI 1306370291 · NPPES record last updated Apr 18, 2017

Key facts

NPI
1306370291
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacist 183500000X
License
26641 (NC)
Legal business name
CVS PHARMACY INC
Practice address
903 E 4TH Ave
Red Springs, NC 28377-1641
Phone
(910) 843-3459
Fax
(910) 843-1545
NPI assigned
Apr 18, 2017
Organization subpart
No

Authorized official

Name
Jessica Parker
Title
Pharmacy Manager
Phone
(910) 843-3459

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2283488North Carolina CVS Pharmacy, LLC Dba
903 East 4TH Ave, Red Springs, NC 28377		Certificate of waiverJun 7, 2027

National Provider Directory

Tax ID family
CVS Pharmacy Inc Agent for CVS RX Services Inc (1,253 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist
Group: 193200000X MULTI-SPECIALTY GROUP		 183500000X 26641 NC Yes

Addresses

Primary practice location

903 E 4TH Ave
Red Springs, NC 28377-1641

Mailing address

1226 W Carthage Rd
Lumberton, NC 28360-7097
Phone (910) 733-0088

Other providers in Red Springs, NC

All providers in Red Springs, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.