CVS Albany LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CVS ALBANY LLC

Practice address

1760 5TH Ave
Bay Shore, NY 11706-1739

Phone

(631) 951-2122

NPI assigned

Dec 18, 2017

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. Director

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other names 1

• CVS Pharmacy #02318 Doing business as

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

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

Cvscaremark525 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.

• CVS Albany LLC

  • Pharmacy
  • Greenwood Lake, NY
  • NPI 1649374406
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • Bay Shore, NY
  • NPI 1649374463
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • Rockville Centre, NY
  • NPI 1649374489
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • Astoria, NY
  • NPI 1649588658
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • Harrison, NY
  • NPI 1649599143
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • Central Islip, NY
  • NPI 1659475317
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • East Rockaway, NY
  • NPI 1659475416
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • Rochester, NY
  • NPI 1659475473
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • New Rochelle, NY
  • NPI 1659475499
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • Oyster Bay, NY
  • NPI 1669570297
  NPD tax ID
• CVS Albany LLC

  • Community/Retail Pharmacy
  • Glendale, NY
  • NPI 1669576328
  NPD tax ID
• CVS Albany LLC

  • Pharmacy
  • Medford, NY
  • NPI 1669576427
  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

Practitioners 2

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

• Manju Kaur Balu, PHARMD

  • Pharmacist
  • Bay Shore, NY
  • NPI 1073195459
  NPD (past)
• Janice Jeong Sim, RPH

  • Pharmacist
  • Bay Shore, NY
  • NPI 1215410717
  NPD (past)

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1669988473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR # 1075",
            "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": "1760 5TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117061739",
            "telephone_number": "631-951-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS ALBANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SR. DIRECTOR",
        "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 #02318",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CVS Pharmacy #02318",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Curran
• Nefertiti Curtis, MD
• Dana Curtiss, RN
• Eni Cvitkovic
• CVS Albany LLC
• CVS Albany LLC
• D I Optical Inc
• Samantha Lynn D'Acunti, MFT
• Alfonso D'Acunto, M.D.
• Alyson Leigh D'Andraia, OTR/L

• Pharmacy in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.