NPIMap

Organization Active NPI

CVS Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Greenville, NC
National Provider Identifier
1467907816
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CVS PHARMACY, INC.
Practice address
704 S Memorial Dr
Greenville, NC 27834-3738
Phone
(252) 758-4104
NPI assigned
Aug 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Cheryl Candora
Title
Regional Administrative Contact
Phone
(919) 981-6253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NC Primary

Addresses

Primary practice location

704 S Memorial Dr
Greenville, NC 27834-3738

Mailing address

704 S Memorial Dr
Greenville, NC 27834-3738
Phone (252) 758-4104

Other identifiers 1

IdentifierTypeStateIssuer
0745604MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
CVS3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1467907816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 S MEMORIAL DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343738",
            "telephone_number": "252-758-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S MEMORIAL DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343738",
            "telephone_number": "252-758-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "CANDORA",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "REGIONAL ADMINISTRATIVE CONTACT",
        "authorized_official_telephone_number": "919-981-6253"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0745604",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

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