CVS Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CVS PHARMACY INC

Doing business as

CVS Pharmacy 17768

Practice address

401 SE Wyoming Blvd
Casper, WY 82609-4219

Phone

(401) 765-1500

NPI assigned

May 7, 2019

Last updated

May 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan F Colbert

Title

Sr. Direector

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other names 1

• CVS PHARMACY 17768 Doing business as

Medicare fee-for-service enrollment

Enrolled in WY2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• CVS Pharmacy Inc

  dba CVS Pharmacy #17769

  • Pharmacy
  • Cheyenne, WY
  • NPI 1689136038

  O20190920000815

  Same enrollment

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

CVS Pharmacy Inc Agent for CVS RX Services Inc1,253 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

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

• CVS Pharmacy Inc

  dba CVS Pharmacy #17769

  • Pharmacy
  • Cheyenne, WY
  • NPI 1689136038
  NPD tax ID

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1649835505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028950803",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SE WYOMING BLVD",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094219",
            "telephone_number": "401-765-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SR. DIREECTOR",
        "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": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY 17768",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa M Custeau
• Custom Orthopedics of Wyo. LLC
• John Cusulos, M.A., LP.C., LAT
• Carol P Cutler, RN
• Bethany Ann Cutts, LCSW
• Cy Edwards MD of Wy, PC (All Womens Care)
• Cynthia Hamann, MSW, LCSW, PC
• Steven Lee Dacus, DDS
• Katie Dahl
• Chelsea Dailey

• Pharmacy in Casper, WY
• Providers in Casper, WY by specialty
• Pharmacy in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.