CVS Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

S017305 Issued in AZ

Legal business name

CVS PHARMACY

Practice address

15010 N 59TH Ave Apt 251
Glendale, AZ 85306-3255

Phone

(617) 686-3072

NPI assigned

Aug 10, 2014

Organization subpart

No

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

Authorized official

Name

Boules Zaghlol Takla

Title

Pharmacist

Phone

(617) 686-3072

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407628800000",
    "number": "1407265887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 N 59TH AVE APT 251",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063255",
            "telephone_number": "617-686-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 N 59TH AVE APT 251",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063255",
            "telephone_number": "617-686-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-10",
        "last_updated": "2014-08-10",
        "status": "A",
        "authorized_official_last_name": "TAKLA",
        "authorized_official_first_name": "BOULES",
        "authorized_official_middle_name": "ZAGHLOL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "617-686-3072"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S017305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela A Cuthbert, RN
• Danielle Dawn Cutrer, MS, LPC
• CVD LLC
• Cvdwestgate LLC
• James A Cvetko, AUDIOPROSTHOLOGIST
• Tiana Marie Czernin, RN BSN
• Dabaiwa World LLC
• Ridhima Dabas
• Renee K. Daft, RN
• John Philip Dagirmanjian, M.D.

• Pharmacist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.