Organization Active NPI

CVS Minute Clinic

  • Clinic/Center
  • Clemmons, NC
National Provider Identifier
1336693787
Registry record updated Aug 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
363LF0000X Issued in NC
Legal business name
CVS MINUTE CLINIC
Practice address
2770 Lewisville Clemmons Rd
Clemmons, NC 27012-8716
Phone
(336) 766-0324
NPI assigned
Aug 14, 2016
Last updated
Aug 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2016

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

Authorized official

Name
Ronda Renee Wright, FNP-CNPI 1164972790
Title
Family Nurse Practioner
Phone
(336) 766-0324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 363LF0000X NC Primary

Addresses

Primary practice location

2770 Lewisville Clemmons Rd
Clemmons, NC 27012-8716

Mailing address

5041 Teal CT
Winston Salem, NC 27127-6813
Phone (336) 407-9267

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471132800000",
    "number": "1336693787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 TEAL CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271276813",
            "telephone_number": "336-407-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 LEWISVILLE CLEMMONS RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128716",
            "telephone_number": "336-766-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS MINUTE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-14",
        "last_updated": "2016-08-14",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTIONER",
        "authorized_official_telephone_number": "336-766-0324",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "363LF0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2016; 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.