Organization Active NPI

CVS/Pharmacy

  • Community/Retail Pharmacy
  • Tampa, FL
National Provider Identifier
1316375868
Registry record updated Oct 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PS51127 Issued in FL
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

Updated by the provider on Oct 19, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
105813400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
CVS Caremark Corporation63 organizations share this tax ID, including this one

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.

Verify at the official NPI Registry.