NPIMap

Organization Active NPI

CVS Pharmacy

  • Community/Retail Pharmacy
  • Phoenix, AZ
National Provider Identifier
1588076731
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
S016852 Issued in AZ
Legal business name
CVS PHARMACY
Practice address
50 W Jefferson St
Phoenix, AZ 85003-2321
Phone
(602) 296-7611
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Courtney WidmerNPI 1528470788
Title
Pharmacy Team Lead
Phone
(602) 296-7611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X S016852 AZ Primary

Addresses

Primary practice location

50 W Jefferson St
Phoenix, AZ 85003-2321

Mailing address

50 W Jefferson St
Phoenix, AZ 85003-2321

National Provider Directory

National Provider Directory

Locations

50 W Jefferson St
Phoenix, AZ 85003
Phone (602) 296-7611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1588076731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W JEFFERSON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W JEFFERSON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850032321",
            "telephone_number": "602-296-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "WIDMER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PHARMACY TEAM LEAD",
        "authorized_official_telephone_number": "602-296-7611"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "S016852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.