Active NPI
CVS/Pharmacy
- Community/Retail Pharmacy
- Tampa, FL
National Provider Identifier
1316375868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PS51127
- Legal business name
- CVS/PHARMACY
- Practice address
- 2502 W Hillsborough Ave
Tampa, FL 33614-6130 - Phone
- (813) 877-5881
- Fax
- (813) 870-1317
- NPI assigned
- Oct 19, 2013
- 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
- Ms. Susan F Colbert
- Title
- Director of Payer Relations
- Phone
- (401) 770-2751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PS51127 | FL | Primary |
Addresses
Primary practice location
2502 W Hillsborough Ave
Tampa, FL 33614-6130
Mailing address
1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105813400 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- CVS Caremark Corporation
Locations
2502 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 877-5881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382140800000",
"number": "1316375868",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2502 W HILLSBOROUGH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336146130",
"telephone_number": "813-877-5881",
"fax_number": "813-870-1317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS/PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-19",
"last_updated": "2013-10-19",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "DIRECTOR OF PAYER RELATIONS",
"authorized_official_telephone_number": "401-770-2751",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PS51127",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105813400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.