Organization Active NPI

CVS Pharmacy

  • Community/Retail Pharmacy
  • Greensboro, NC
National Provider Identifier
1629502109
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5190 Issued in NC
Legal business name
CVS PHARMACY
Practice address
1606 Fox Hollow Rd
Greensboro, NC 27410-3704
Phone
(336) 855-1942
NPI assigned
Apr 12, 2017
Last updated
Apr 12, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
CVS RX SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Ms. Judith Baucom Crouch, RPH
Title
Staff Pharmacist
Phone
(336) 855-1942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5190 NC Primary

Addresses

Primary practice location

1606 Fox Hollow Rd
Greensboro, NC 27410-3704

Mailing address

1606 Fox Hollow Rd
Greensboro, NC 27410-3704
Phone (336) 855-1942

National Provider Directory

National Provider Directory
Tax ID family
CVS Pharmacy Inc1,254 organizations share this tax ID, including this one
Part of
CVS

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1629502109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 FOX HOLLOW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103704",
            "telephone_number": "336-855-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 FOX HOLLOW RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103704",
            "telephone_number": "336-855-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CVS RX SERVICES INC",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "BAUCOM",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "336-855-1942",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "5190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.