Organization Active NPI

CVS Pharmacy

  • Community/Retail Pharmacy
  • Tucson, AZ
National Provider Identifier
1386062339
Registry record updated Apr 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
S019812 Issued in AZ
Legal business name
CVS PHARMACY
Practice address
865 E Grant Rd
Tucson, AZ 85719-2933
Phone
(520) 622-4853
Fax
(520) 622-7690
NPI assigned
Apr 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2014

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

Authorized official

Name
Jacob Maki
Title
Pharmacist
Phone
(520) 444-7822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X S019812 AZ Primary

Addresses

Primary practice location

865 E Grant Rd
Tucson, AZ 85719-2933

Mailing address

865 E Grant Rd
Tucson, AZ 85719-2933
Phone (520) 622-4853

National Provider Directory

National Provider Directory

Locations

865 E Grant Rd
Tucson, AZ 85719
Phone (520) 622-4853

NPI Registry JSON

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

{
    "created_epoch": "1396742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396742400000",
    "number": "1386062339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192933",
            "telephone_number": "520-622-4853",
            "fax_number": "520-622-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192933",
            "telephone_number": "520-622-4853",
            "fax_number": "520-622-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-06",
        "last_updated": "2014-04-06",
        "status": "A",
        "authorized_official_last_name": "MAKI",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "520-444-7822"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "S019812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2014; 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.