Active NPI
CVS Pharmacy Inc
Doing business as CVS Pharmacy 07787
- Pharmacy
- Flower Mound, TX
National Provider Identifier
1407950215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 24852
- Legal business name
- CVS PHARMACY INC
- Doing business as
- CVS Pharmacy 07787
- Practice address
- 2220 Cross Timbers Rd
Flower Mound, TX 75028-2615 - Phone
- (972) 874-1040
- Fax
- (972) 874-1043
- NPI assigned
- Sep 12, 2006
- Last updated
- Mar 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cristiana Mauricio
- Title
- MGR Phcy Enrollments
- Phone
- (401) 770-2937
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 24852 | TX | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
2220 Cross Timbers Rd
Flower Mound, TX 75028-2615
Mailing address
1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4599289 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 000464034 | Medicaid | TX |
Other names 1
- CVS PHARMACY 07787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090408000170 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092711895 | This NPI is an additional NPI on the enrollment |
| O20100930073441 | TX | DME Supplier - Pharmacy | 5092711895 | Practice locations: Flower Mound, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #07787 | Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urologic… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- CVS Pharmacy
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.
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Flower Mound, TX
- NPI 1164160024
-
- Pharmacist
- Flower Mound, TX
- NPI 1265036685
-
- Pharmacist
- Flower Mound, TX
- NPI 1700489572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425859200000",
"number": "1407950215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "PO BOX 1075",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 CROSS TIMBERS RD",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750282615",
"telephone_number": "972-874-1040",
"fax_number": "972-874-1043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2015-03-09",
"status": "A",
"authorized_official_last_name": "MAURICIO",
"authorized_official_first_name": "CRISTIANA",
"authorized_official_title_or_position": "MGR PHCY ENROLLMENTS",
"authorized_official_telephone_number": "401-770-2937"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "24852",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4599289",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000464034",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY 07787",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Flower Mound, TX
- Sarah Cruz, SLP
- Curantis, Inc. (BrightStar Care of Flower Mound)
- Curt Family Medicine
- Dameian Curtin
- Customized Communications, Inc. (ParentSource)
- CVS Pharmacy Inc (CVS Pharmacy #01745)
- CVS Pharmacy Inc (CVS Pharmacy #16847)
- Cypress Banks Counseling
- Ashly Michelle D'Agostino
- Frederico Duarte Da Silva, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.