Ohio CVS Stores LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

2137150 Issued in OH

Legal business name

OHIO CVS STORES LLC

Practice address

591 E Livingston Ave
Columbus, OH 43215-5546

Phone

(614) 464-2480

NPI assigned

Sep 7, 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

Director

Phone

(401) 765-1500

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY 03484 Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 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.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

CVS Pharmacy 05364311 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.

• Ohio CVS Stores LLC

  • Pharmacy
  • Springfield, OH
  • NPI 1558464271
  NPD tax ID
• Ohio CVS Stores LLC

  • Pharmacy
  • Bucyrus, OH
  • NPI 1558464289
  NPD tax ID
• Ohio CVS Stores LLC

  • Pharmacy
  • Geneva, OH
  • NPI 1558464388
  NPD tax ID
• Ohio CVS Stores LLC

  • Pharmacy
  • Fairlawn, OH
  • NPI 1568484376
  NPD tax ID
• Ohio CVS Stores LLC

  • Pharmacy
  • Anderson, OH
  • NPI 1568565273
  NPD tax ID
• Ohio CVS Stores LLC

  • Pharmacy
  • Norton, OH
  • NPI 1568565281
  NPD tax ID
• Ohio CVS Stores LLC

  • Pharmacy
  • Huber Heights, OH
  • NPI 1568565307
  NPD tax ID
• Ohio CVS Stores LLC

  • Pharmacy
  • Toledo, OH
  • NPI 1578585287
  NPD tax ID
• Ohio CVS Stores LLC

  • Pharmacy
  • Richmond Heights, OH
  • NPI 1578666087
  NPD tax ID
• Ohio CVS Stores LLC

  • Pharmacy
  • Twinsburg, OH
  • NPI 1578666319
  NPD tax ID
• Ohio CVS Stores LLC

  • Community/Retail Pharmacy
  • Amherst, OH
  • NPI 1578757613
  NPD tax ID
• Ohio CVS Stores LLC

  • Pharmacy
  • Medina, OH
  • NPI 1598787392
  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": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1609979129",
    "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": "591 E LIVINGSTON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155546",
            "telephone_number": "614-464-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO CVS STORES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "2137150",
            "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": "3615676",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY 03484",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC

• All providers in Columbus, OH
• Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.