CVS Albany LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

22884 Issued in NY

Legal business name

CVS ALBANY LLC

Practice address

311 Main St CVS PLZ
Center Moriches, NY 11934

Phone

(631) 878-0001

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Susan Colbert

Title

MGR Phcy Enrollments

Phone

(401) 770-2937

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

These 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

Tax ID family

Cvscaremark525 organizations share this tax ID, including this one

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.

• CVS Albany LLC

  • Pharmacy
  • Brooklyn, NY
  • NPI 1578667333
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • Bethpage, NY
  • NPI 1578793592
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • Monsey, NY
  • NPI 1588251029
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • New Hyde Park, NY
  • NPI 1588392757
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • Westbury, NY
  • NPI 1588686133
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • Tarrytown, NY
  • NPI 1588768246
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • Batavia, NY
  • NPI 1588768337
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • Bronx, NY
  • NPI 1588768345
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • South Setauket, NY
  • NPI 1598787129
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • Cornwall, NY
  • NPI 1598868333
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • Commack, NY
  • NPI 1598868341
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • Brooklyn, NY
  • NPI 1598869349
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

Locations

Practitioners 2

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

• Tiffany Miller

  • Pharmacist
  • Center Moriches, NY
  • NPI 1104079672
  NPD (past)
• Gregory Petrucci

  • Pharmacist
  • Center Moriches, NY
  • NPI 1851560056
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1598863201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "PO BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MAIN ST CVS PLZ",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "11934",
            "telephone_number": "631-878-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS ALBANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MGR PHCY ENROLLMENTS",
        "authorized_official_telephone_number": "401-770-2937"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "22884",
            "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": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3312713",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maribeth Costa-Kulesa, LCSW
• Alan Covey, M.D.
• Alexander Covey, M.D.
• Brooke V. Crowley, D.P.M.
• CVS Albany LLC
• Joan York D'Angelo, LCSW
• Chelsea Elizabeth Dagradi, LPN
• Dawn Daniels, PT
• Amanda Marie Davidson, MA, CCC- SLP
• Tara Arlene Davison, OT

• All providers in Center Moriches, NY
• Pharmacy in New York

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

Verify at the official NPI Registry.