CVS Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

25789 Issued in NC

Legal business name

CVS PHARMACY

Practice address

3001 Fayetteville Rd
Lumberton, NC 28358-2781

Phone

(910) 739-7511

Fax

(910) 671-0491

NPI assigned

Jun 27, 2016

Organization subpart

Yes

Parent organization

CVS HEALTHAs reported in NPPES

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

Authorized official

Name

Doly Simit Patel

Title

Pharmacy Manager

Phone

(910) 739-7511

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

North Carolina CVS Pharmacy

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1659722080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 FAYETTEVILLE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582781",
            "telephone_number": "910-739-7511",
            "fax_number": "910-671-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 FAYETTEVILLE RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582781",
            "telephone_number": "910-739-7511",
            "fax_number": "910-671-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CVS HEALTH",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DOLY",
        "authorized_official_middle_name": "SIMIT",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "910-739-7511"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "25789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0785584",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Earl Cummings, PA
• Mary Bullard Cummings
• Samuel M Cummings, M.D.
• Shannon Celine Cummings, PA-C
• CVS Pharmacy
• Hubert M Czarnecki, MD
• Alison Theresa D'Amato, D.O.
• David Arthur Dalsimer, D.O.
• Dan Davis, Jr., DMD, PA
• Daniel C Walters Jr DDS PA

• Community/Retail Pharmacy in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.