Active NPI
CVS Pharmacy, Inc.
- Pharmacy
- Brownsville, TX
National Provider Identifier
1558677740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- CVS PHARMACY, INC.
- Doing business as
- CVS Pharmacy # 01020
- Practice address
- 1484 Ruben Torres Blvd
Brownsville, TX 78521-1537 - Phone
- (956) 541-0167
- NPI assigned
- Aug 25, 2010
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | TX | ||
| Pharmacy | 333600000X | TX | Primary | |
| Community/Retail Pharmacy | 3336C0003X | TX |
Addresses
Primary practice location
1484 Ruben Torres Blvd
Brownsville, TX 78521-1537
Mailing address
1 CVS Dr
Box 1075 Pharmacy Enrollments
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5900875 | Other | TX | NCPDP |
| 466709 | Medicaid | TX |
Other names 1
- CVS Pharmacy # 01020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090408000170 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092711895 | This NPI is an additional NPI on the enrollment |
| O20110103001042 | TX | DME Supplier - Pharmacy | 5092711895 | Practice locations: Brownsville, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2234386 | CVS Pharmacy, Inc Dba CVS/Pharmacy #01020 | Certificate of waiver | Aug 30, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #01020 | Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urologic… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- CVS Pharmacy Inc Agent for CVS RX Services Inc
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.
-
- Pharmacy
- Dallas, TX
- NPI 1538575469
-
- Pharmacy
- Laredo, TX
- NPI 1548282205
-
- Pharmacy
- Dallas, TX
- NPI 1548364367
-
- Pharmacy
- Austin, TX
- NPI 1548364383
-
- Pharmacy
- Cameron, TX
- NPI 1548367048
-
- Pharmacy
- Bee Cave, TX
- NPI 1548693765
-
- Pharmacy
- Houston, TX
- NPI 1548774979
-
- Pharmacy
- N Richland Hills, TX
- NPI 1558383216
-
- Pharmacy
- Orange, TX
- NPI 1558465369
-
- Pharmacy
- Paris, TX
- NPI 1558468058
-
- Pharmacy
- Dallas, TX
- NPI 1558468959
-
- Pharmacy
- Royse City, TX
- NPI 1558745430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427241600000",
"number": "1558677740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "BOX 1075 PHARMACY ENROLLMENTS",
"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": "1484 RUBEN TORRES BLVD",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785211537",
"telephone_number": "956-541-0167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-25",
"last_updated": "2015-03-25",
"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": "TX",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "5900875",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "466709",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS Pharmacy # 01020",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.