Organization Active NPI

CVS Pharmacy

  • Public Health or Welfare Agency
  • Inglewood, CA
National Provider Identifier
1376992875
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
RPH 47630 Issued in CA
Legal business name
CVS PHARMACY
Practice address
222 N Market St
Inglewood, CA 90301-1217
Phone
(310) 671-0441
NPI assigned
Jun 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Dr. Artin Dembekjan, PHARM D
Title
Supervisor
Phone
(401) 216-0086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X RPH 47630 CA Primary

Addresses

Primary practice location

222 N Market St
Inglewood, CA 90301-1217

Mailing address

12415 Rives Ave
Downey, CA 90242-3454
Phone (562) 253-3905

Other identifiers 1

IdentifierTypeStateIssuer
CODE 18MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1376992875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12415 RIVES AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423454",
            "telephone_number": "562-253-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N MARKET ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011217",
            "telephone_number": "310-671-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "DEMBEKJAN",
        "authorized_official_first_name": "ARTIN",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "401-216-0086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CA",
            "license": "RPH 47630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CODE 18",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

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