CVS Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CVS PHARMACY, INC.

Practice address

3030 Sylvan Ave
Dallas, TX 75212-1604

Phone

(214) 749-5197

NPI assigned

May 23, 2016

Organization subpart

No

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

Authorized official

Name

Susan Colbert

Title

Sr. Director-Payer Relations

Phone

(401) 765-1500

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• CVS PHARMACY #10910 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Tax ID family

CVS Pharmacy Inc Agent for CVS RX Services Inc1,253 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

• CVS Pharmacy Inc

  • Pharmacy
  • Plano, TX
  • NPI 1376647107
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Bryan, TX
  • NPI 1376647180
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1376647198
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Decatur, TX
  • NPI 1376830067
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • San Antonio, TX
  • NPI 1386044303
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Austin, TX
  • NPI 1386148757
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Houston, TX
  • NPI 1386741783
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Houston, TX
  • NPI 1386748192
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • San Antonio, TX
  • NPI 1386901213
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Midland, TX
  • NPI 1386961159
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • League City, TX
  • NPI 1396842795
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Portland, TX
  • NPI 1396849188
  NPD tax ID

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan P Mayfield, PHARMD

  • Pharmacist
  • Dallas, TX
  • NPI 1871935858
  NPD (past)
• Thien-an Huu Nguyen, PHARMD

  • Pharmacist
  • Houston, TX
  • NPI 1699249870
  NPD (past)
• Lucy M Thiiri, PHARMD

  • Pharmacist
  • Dallas, TX
  • NPI 1598488546
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1396192050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 SYLVAN AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752121604",
            "telephone_number": "214-749-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR. DIRECTOR-PAYER RELATIONS",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5919088",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470906",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY #10910",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Dallas, TX
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.