Active NPI
CVS Pharmacy, Inc.
- Pharmacy
- Fort Worth, TX
National Provider Identifier
1588029458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- CVS PHARMACY, INC.
- Practice address
- 7220 Blue Mound Rd
Fort Worth, TX 76131-4802 - Phone
- (817) 847-7329
- NPI assigned
- Dec 21, 2015
- 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
- Sr. Director, Payer Relations
- Phone
- (401) 770-2751
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
7220 Blue Mound Rd
Fort Worth, TX 76131-4802
Mailing address
1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5917856 | Other | NCPDP | |
| 468587 | Medicaid | TX |
Other names 1
- CVS Pharmacy #10886
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 |
| O20160310002220 | TX | DME Supplier - Pharmacy | 5092711895 | Practice locations: Fort Worth, TX |
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
- Austin, TX
- NPI 1578098539
-
- Pharmacy
- Euless, TX
- NPI 1578585238
-
- Pharmacy
- Sugar Land, TX
- NPI 1578660072
-
- Pharmacy
- Houston, TX
- NPI 1578660973
-
- Pharmacy
- Dallas, TX
- NPI 1578667366
-
- Pharmacy
- Taylor, TX
- NPI 1578667374
-
- Pharmacy
- Cross Roads, TX
- NPI 1578801502
-
- Pharmacy
- Rosenberg, TX
- NPI 1588024749
-
- Pharmacy
- Austin, TX
- NPI 1588686257
-
- Pharmacy
- Missouri City, TX
- NPI 1588768378
-
- Pharmacy
- Garland, TX
- NPI 1588768386
-
- Pharmacy
- Melissa, TX
- NPI 1598145583
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Fort Worth, TX
- NPI 1609575307
-
- Pharmacist
- Fort Worth, TX
- NPI 1497359657
-
- Pharmacist
- Fort Worth, TX
- NPI 1407443294
-
- Pharmacist
- Fort Worth, TX
- NPI 1033713391
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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #10886 | 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 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458604800000",
"number": "1588029458",
"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": "7220 BLUE MOUND RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761314802",
"telephone_number": "817-847-7329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-21",
"last_updated": "2016-03-22",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "SR. 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": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "5917856",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "468587",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS Pharmacy #10886",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.