Organization Active NPI

CVS Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1366838328
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
059810 Issued in NY
Legal business name
CVS PHARMACY
Practice address
1223 2ND Ave
New York, NY 10065-7402
Phone
(212) 752-7703
Fax
(212) 752-9683
NPI assigned
Apr 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Dr. Matthew Lin, PHARMD
Title
Pharmacist
Phone
(212) 752-7703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 059810 NY Primary

Addresses

Primary practice location

1223 2ND Ave
New York, NY 10065-7402

Mailing address

1223 2ND Ave
New York, NY 10065-7402
Phone (212) 752-7703

National Provider Directory

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

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

1223 2nd Ave
New York, NY 10065
Phone (212) 752-7003

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1366838328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657402",
            "telephone_number": "212-752-7703",
            "fax_number": "212-752-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657402",
            "telephone_number": "212-752-7703",
            "fax_number": "212-752-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "212-752-7703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "059810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.