NPIMap

Organization Active NPI

CVS Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1457895872
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RPH 71925 Issued in CA
Legal business name
CVS PHARMACY
Practice address
6360 W 3Rd St
Los Angeles, CA 90036-3155
Phone
(323) 937-3019
NPI assigned
Dec 5, 2016
Last updated
Dec 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Dr. Kwaku Y Agyeman, PHARMDNPI 1710400163
Title
Pharmacist
Phone
(909) 255-6584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RPH 71925 CA Primary

Addresses

Primary practice location

6360 W 3Rd St
Los Angeles, CA 90036-3155

Mailing address

6360 W 3Rd St
Los Angeles, CA 90036-3155
Phone (323) 937-3019

National Provider Directory

National Provider Directory
Tax ID family
CVS Pharmacy63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

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

Locations

6360 W 3rd St
Los Angeles, CA 90036
Phone (323) 937-3019

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1457895872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363155",
            "telephone_number": "323-937-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363155",
            "telephone_number": "323-937-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "AGYEMAN",
        "authorized_official_first_name": "KWAKU",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "909-255-6584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "RPH 71925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.