Organization Active NPI

CVS Pharmacy, Albany LLC

  • Community/Retail Pharmacy
  • Schenectady, NY
National Provider Identifier
1528453032
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
058209 Issued in NY
Legal business name
CVS PHARMACY, ALBANY LLC
Practice address
1630 Chrisler Ave
Schenectady, NY 12303-1829
Phone
(518) 382-5391
NPI assigned
Apr 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Paige A Wells
Title
Pharmacist in Charge
Phone
(518) 275-3926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 058209 NY Primary

Addresses

Primary practice location

1630 Chrisler Ave
Schenectady, NY 12303-1829

Mailing address

1052 Eastern Ave
Schenectady, NY 12308-3441

Other identifiers 1

IdentifierTypeStateIssuer
00862886MedicaidNY

National Provider Directory

National Provider Directory

Locations

1630 Chrisler Ave
Schenectady, NY 12303
Phone (518) 355-4002

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1528453032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 EASTERN AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123083441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 CHRISLER AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123031829",
            "telephone_number": "518-382-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY, ALBANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "518-275-3926"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "058209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00862886",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.