CVS Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

24939 Issued in TX

Legal business name

CVS PHARMACY INC

Practice address

290 N Denton Tap Rd
Coppell, TX 75019-2903

Phone

(972) 745-6566

Fax

(972) 745-6575

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Susan Colbert

Title

Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• CVS PHARMACY #07469 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 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.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

CVS Pharmacy Inc Agent for CVS RX Services Inc1,253 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.

• CVS Pharmacy Inc

  • Pharmacy
  • Frisco, TX
  • NPI 1295316388
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Fulshear, TX
  • NPI 1295691053
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • McAllen, TX
  • NPI 1295757953
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1295818516
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1295839009
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Plano, TX
  • NPI 1295839082
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Houston, TX
  • NPI 1295839090
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • San Antonio, TX
  • NPI 1306148473
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Houston, TX
  • NPI 1306943808
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Houston, TX
  • NPI 1316041130
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Houston, TX
  • NPI 1316041148
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Plano, TX
  • NPI 1316969082
  NPD tax ID

Practitioners 1

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

• Folashade Oduleye

  • Pharmacist
  • Coppell, TX
  • NPI 1972107860
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1306940101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "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": "290 N DENTON TAP RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192903",
            "telephone_number": "972-745-6566",
            "fax_number": "972-745-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "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": "TX",
            "license": "24939",
            "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": "4569945",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000462500",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY #07469",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Cunningham, PT, DPT
• Mara Lynn Cunningham, D.O.
• Margaret A Cusack, MS, RN, FNP-C, MHPNP
• Chloe Branee Custer, PTA
• Mark Gonzales Cutler, OD
• CVS Pharmacy, Inc.
• Amanda Simone Daigle
• Dallas County Hospital District
• Rauna Dallman, PT
• Bridget Dalton

• All providers in Coppell, TX
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.