NPIMap

Organization Active NPI

CVS Pharmacy

  • Pharmacist
  • Yuma, AZ
National Provider Identifier
1558773812
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
020279 Issued in AZ
Legal business name
CVS PHARMACY
Practice address
2800 S 4TH Ave
Yuma, AZ 85364-8110
Phone
(928) 344-2341
NPI assigned
May 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Dr. Vasundhara ModiNPI 1912375833
Title
Pharmacist
Phone
(508) 762-6519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 020279 AZ Primary

Addresses

Primary practice location

2800 S 4TH Ave
Yuma, AZ 85364-8110

Mailing address

2200 S Avenue B Apt A110
Yuma, AZ 85364-6175

National Provider Directory

National Provider Directory

Locations

2800 S 4th Ave
Yuma, AZ 85364
Phone (928) 344-2341

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1558773812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S AVENUE B APT A110",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S 4TH AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648110",
            "telephone_number": "928-344-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "VASUNDHARA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "508-762-6519",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "020279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.