Pennsylvania CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PENNSYLVANIA CVS PHARMACY LLC

Practice address

200 Butler CMNS
Butler, PA 16001-2485

Phone

(724) 283-7269

Fax

(724) 283-7269

NPI assigned

Jul 24, 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

Sr. Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CVS Pharmacy #16752 Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

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

Pennsylvania CVS Pharmacy LLC431 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.

• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Cranberry Township, PA
  • NPI 1578759726
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Johnstown, PA
  • NPI 1578950341
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Dresher, PA
  • NPI 1588030001
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • New Kensington, PA
  • NPI 1588767347
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Mechanicsburg, PA
  • NPI 1598863227
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Reading, PA
  • NPI 1609001635
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Philadelphia, PA
  • NPI 1609126382
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Pittsburgh, PA
  • NPI 1619226156
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Springfield, PA
  • NPI 1629090345
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Landenberg, PA
  • NPI 1629172416
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Wyomissing, PA
  • NPI 1639191364
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Swissvale, PA
  • NPI 1639272479
  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

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1609898337",
    "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": "200 BUTLER CMNS",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012485",
            "telephone_number": "724-283-7269",
            "fax_number": "724-283-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-12-14",
        "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": "PA",
            "license": "PP481228",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2086331",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS Pharmacy #16752",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• PBS Mental Health Associates, P.C.
• Pearl Dentistry of Butler PLLC
• Sharon Lynn Pearson, MA, NCC,LPC
• Monica Pellegrino, P.T.
• Patrik J Pellegrino, R.PH.
• Roger A Percy, CRNP
• Thomas Perdian, M.A., N.C.C., L.P.C.
• Perfect Smile Dental of Butler, LLC
• Christian Ryan Pergola, CRNP
• Courtney Marie Perry, FNP-C

• All providers in Butler, PA
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.