New Jersey CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

5906 Issued in NJ

Legal business name

NEW JERSEY CVS PHARMACY LLC

Practice address

1041 Pompton Ave
Cedar Grove, NJ 07009-1155

Phone

(973) 237-4061

NPI assigned

Sep 29, 2006

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

Director

Phone

(401) 765-1500

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY 02492 Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

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

Tax ID family

New Jersey CVS Pharmacy LLC336 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.

• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Linden, NJ
  • NPI 1376626614
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Scotch Plains, NJ
  • NPI 1376635854
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Lodi, NJ
  • NPI 1386144038
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Kearny, NJ
  • NPI 1386364404
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Gloucester City, NJ
  • NPI 1386728814
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Whiting, NJ
  • NPI 1386736981
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Burlington, NJ
  • NPI 1396767901
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Ewing, NJ
  • NPI 1396848115
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Ringwood, NJ
  • NPI 1396849113
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Swedesboro, NJ
  • NPI 1396995643
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Sewell, NJ
  • NPI 1407939739
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • New Egypt, NJ
  • NPI 1407948003
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1417049016",
    "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": "1041 POMPTON AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091155",
            "telephone_number": "973-237-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "5906",
            "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": "3142306",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY 02492",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Mucci, M.S., CCC-SLP
• Tracie Dalton Murray, MSPT
• Florence Nardone, P.T.
• National Hearing Services
• Neighbours-Inc
• New Jersey CVS Pharmacy LLC
• Jennifer Katherine Newman, LCSW
• Ricky Ngotianco
• Christopher Paul Nigroni, OTR/L, B.S.
• NJ Spine &Joint LLC

• Pharmacy in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.