New Jersey CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

NEW JERSEY CVS PHARMACY LLC

Practice address

2545 Hooper Ave
Brick, NJ 08723-6238

Phone

(732) 920-1604

NPI assigned

Sep 10, 2012

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# 02284 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
  • Pomona, NJ
  • NPI 1437427473
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Eatontown, NJ
  • NPI 1437840444
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Phillipsburg, NJ
  • NPI 1447272067
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Woodbury, NJ
  • NPI 1447342175
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Union, NJ
  • NPI 1447442843
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Lanoka Harbor, NJ
  • NPI 1447445143
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Jersey City, NJ
  • NPI 1447766761
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Manasquan, NJ
  • NPI 1457443178
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Bloomfield, NJ
  • NPI 1467535708
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Jamesburg, NJ
  • NPI 1467544064
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Princeton, NJ
  • NPI 1467544189
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • East Windsor, NJ
  • NPI 1477575082
  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

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larisa Janoczkin, PHARMD

  • Pharmacist
  • Brick, NJ
  • NPI 1245835867
  NPD (past)
• Judith Willson

  • Pharmacist
  • Brick, NJ
  • NPI 1831794676
  NPD (past)

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1467701185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 HOOPER AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236238",
            "telephone_number": "732-920-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2013-02-01",
        "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": null,
            "license": null,
            "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": "NCPDP",
            "identifier": "3199026",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS Pharmacy# 02284",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Brick, NJ
• Providers in Brick, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.