NPIMap

Organization Active NPI

Utah CVS Pharmacy LLC

Doing business as CVS Pharmacy #17890

  • Pharmacy
  • Spanish Fork, UT
National Provider Identifier
1447933353
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
UTAH CVS PHARMACY LLC
Doing business as
CVS Pharmacy #17890
Practice address
900 Expressway LN
Spanish Fork, UT 84660-1300
Phone
(801) 504-1893
NPI assigned
Aug 8, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Susan F Colbert
Title
Sr. Director
Phone
(401) 765-1500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

900 Expressway LN
Spanish Fork, UT 84660-1300

Mailing address

1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500

Other names 1

  • CVS Pharmacy #17890 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140611002183 UT Part B Supplier - Mass Immunization (Roster Biller Only) 4284861626 30 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salt Lake City, UT; Sandy, UT; South Jordan, UT; Spanish Fork, UT; Syracuse, UT; Taylorsville, UT; West Jordan, UT; West Valley City, UT…
O20231125000176 UT DME Supplier - Pharmacy 4284861626 Practice locations: Spanish Fork, UT

Other NPIs on the same Medicare enrollment 29

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 29

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
CVS Pharmacy #17890900 Expressway LN, Spanish Fork, UT 84660-1300(801) 504-1893 Immunosuppressive 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|Urological Supplies|Ent… Does not accept assignmentParticipating since Jan 1, 2025

National Provider Directory

National Provider Directory
Tax ID family
Utah CVS Pharmacy LLC33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Member of 1

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

Locations (25 of 37)

475 E State Rd
American Fork, UT 84003
Phone (801) 756-1501

475 E State Rd
#10577
American Fork, UT 84003
Phone (801) 756-1501

608 W Main St
American Fork, UT 84003
Phone (801) 756-5449

608 W Main St
#16936
American Fork, UT 84003
Phone (801) 756-5997

200 N Market Place Dr
Centerville, UT 84014
Phone (801) 292-1546

200 N Market Place Dr
#16877
Centerville, UT 84014
Phone (801) 292-1546

4968 W 13400 S
#10308
Herriman, UT 84096
Phone (801) 254-6135

5326 W 11000 N
#10618
Highland, UT 84003
Phone (801) 763-9786

815 W 2000 N
#16882
Layton, UT 84041
Phone (801) 773-6478

4240 Harrison Blvd
Ogden, UT 84403
Phone (801) 621-2610

175 W Center St
#16881
Orem, UT 84057
Phone (801) 224-6510

1235 N University Ave
Provo, UT 84604
Phone (801) 377-3280

1235 N University Ave
#10230
Provo, UT 84604
Phone (801) 377-3280

1273 N University Ave
Provo, UT 84604
Phone (801) 377-3280

1135 W Riverdale Rd
#16880
Riverdale, UT 84405
Phone (801) 392-4775

5305 S 1900 W
Roy, UT 84067
Phone (801) 825-5648

5305 S 1900 W
#10232
Roy, UT 84067
Phone (801) 825-5648

275 S River Rd
#16696
Saint George, UT 84790
Phone (435) 627-2037

1110 S 300 W
#17596
Salt Lake City, UT 84101
Phone (801) 401-9563

2236 S 1300 E
Salt Lake City, UT 84106
Phone (801) 906-4001

7025 S Park Centre Dr
Salt Lake City, UT 84121
Phone (801) 233-9334

7025 S Park Centre Dr
#16878
Salt Lake City, UT 84121
Phone (801) 255-2566

10130 S State St
#16879
Sandy, UT 84070
Phone (801) 255-3101

11385 S 700 E
#10187
Sandy, UT 84070
Phone (801) 572-7395

667 W 9000 S St
CVS Pharmacy 10556
Sandy, UT 84070
Phone (801) 255-9699

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1447933353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "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": "900 EXPRESSWAY LN",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601300",
            "telephone_number": "801-504-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SR. DIRECTOR",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS Pharmacy #17890",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CVS Pharmacy #17890",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.