CVS Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

24915 Issued in TX

Legal business name

CVS PHARMACY INC

Practice address

810 W Pioneer Pkwy
Grand Prairie, TX 75051-4708

Phone

(972) 641-5744

Fax

(972) 641-0204

NPI assigned

Sep 12, 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, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• CVS PHARMACY #07421 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 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

CVS Pharmacy Inc Agent for CVS RX Services Inc1,253 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.

• CVS Pharmacy Inc

  • Pharmacy
  • Murphy, TX
  • NPI 1487996039
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Port Aransas, TX
  • NPI 1497179162
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Baytown, TX
  • NPI 1497859219
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Arlington, TX
  • NPI 1497859227
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • West Columbia, TX
  • NPI 1497859292
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Katy, TX
  • NPI 1508027939
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Rockwall, TX
  • NPI 1508921933
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Sealy, TX
  • NPI 1508960311
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Katy, TX
  • NPI 1508960329
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • San Antonio, TX
  • NPI 1508960386
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Austin, TX
  • NPI 1508963000
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Gladewater, TX
  • NPI 1518061308
  NPD tax ID

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1508960394",
    "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": "810 W PIONEER PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514708",
            "telephone_number": "972-641-5744",
            "fax_number": "972-641-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "24915",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000462606",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4569680",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY #07421",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Cudlipp, (P.T)
• Yesenia Cuellar, OTR
• Frank Peter Cundari, D.O.
• Kierstin Elizabeth Curtis, CCC-SLP
• CVS Pharmacy Inc
• CVS Pharmacy Inc
• CVS Pharmacy Inc
• CVS Pharmacy, Inc.
• D&D Residential Services Inc
• Dacy Healthcare LLC

• All providers in Grand Prairie, TX
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.