Active NPI
CVS Albany LLC
- Pharmacy
- Farmingdale, NY
National Provider Identifier
1306940069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 20006
- Legal business name
- CVS ALBANY LLC
- Practice address
- 450 Main St
Farmingdale, NY 11735-3598 - Phone
- (631) 694-6210
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Susan Colbert
- Title
- MGR Phcy Enrollments
- Phone
- (401) 770-2937
Corporate family (same tax ID) 24
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Rhinebeck, NY
- NPI 1285738047
-
- Pharmacy
- Wantagh, NY
- NPI 1285738948
-
- Pharmacy
- Yonkers, NY
- NPI 1295031151
-
- Pharmacy
- Carmel, NY
- NPI 1295112639
-
- Pharmacy
- Poughkeepsie, NY
- NPI 1295463677
-
- Pharmacy
- Mount Vernon, NY
- NPI 1295757847
-
- Pharmacy
- Ozone Park, NY
- NPI 1295839033
-
- Pharmacy
- Brockport, NY
- NPI 1306148317
-
- Pharmacy
- New York, NY
- NPI 1306260641
-
- Pharmacy
- Cheektowaga, NY
- NPI 1306868930
-
- Pharmacy
- Ithaca, NY
- NPI 1306868955
-
- Pharmacy
- Bedford Hills, NY
- NPI 1306940077
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
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 |
|---|---|---|---|
| 33D2261655 | CVS Pharmacy No 01073 | Certificate of waiver | Mar 26, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #01073 | 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… | Accepts assignment |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091103000102 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 0941347421 | This NPI is an additional NPI on the enrollment |
| O20100930087689 | NY | DME Supplier - Pharmacy | 0941347421 | Practice locations: Farmingdale, NY |
| O20260501002874 | NY | Part B Supplier - Pharmacy | 0941347421 |
This NPI is an additional NPI on the enrollment Practice locations: Lindenhurst, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Cvscaremark
Locations
335 Main St
Farmingdale, NY 11735
Phone (516) 694-6210
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NY | ||
| Pharmacy | 333600000X | 20006 | NY | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
NPPES NPI RegistryPrimary practice location
450 Main St
Farmingdale, NY 11735-3598
Mailing address
1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3392684 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
NPPES NPI Registry- CVS PHARMACY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 26, 2017.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1495756800000",
"number": "1306940069",
"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": "450 MAIN ST",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117353598",
"telephone_number": "631-694-6210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS ALBANY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2017-05-26",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "MGR PHCY ENROLLMENTS",
"authorized_official_telephone_number": "401-770-2937"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NY",
"license": "20006",
"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": "3392684",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; 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.