CVS Albany, L.L.C.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CVS ALBANY, L.L.C.

Practice address

1730 Hempstead Turnpike
Elmont, NY 11003-1856

Phone

(516) 326-3579

NPI assigned

Sep 12, 2016

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) 765-1500

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• CVS PHARMACY # 17692 Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meagan Lorraine Heslop, PHARMD

  • Pharmacist
  • Elmont, NY
  • NPI 1194496158
  NPD (past)
• Eshmal Mukhtar, PHARMD

  • Pharmacist
  • Jamaica, NY
  • NPI 1063385417
  NPD (past)
• Sujean Myung, PHARM D.

  • Pharmacist
  • Elmont, NY
  • NPI 1710377221
  NPD (past)

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1669920310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE CVS DRIVE",
            "address_2": "MAIL CODE 1090",
            "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": "1730 HEMPSTEAD TURNPIKE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031856",
            "telephone_number": "516-326-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS ALBANY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2017-03-02",
        "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": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04616060",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5817626",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY # 17692",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivette Felicia Cumberbatch, OT/L
• Frederick Cunningham
• John Cunningham, LCSW
• Trudy -Anne Alicia Curate, NURSE PRACTITIONER
• CVS Albany LLC
• D & a Solution and X-Ray, Inc.
• D Florence Inc
• D.R. Rossi, M.D., P.C.
• Patricia D'Imperio, D.C., D.I.B.C.N.
• Catherine Dambrose, LMSW

• All providers in Elmont, NY
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.