NPIMap

Organization Active NPI

CVS Health

  • Pharmacist
  • Clayton, NC
National Provider Identifier
1679025894
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26587 Issued in NC
Legal business name
CVS HEALTH
Practice address
11911 US Hwy 70 W
Clayton, NC 27520
Phone
(919) 359-2900
NPI assigned
Nov 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Dr. Stefan RossNPI 1871017756
Title
Pharmacist
Phone
(919) 359-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 26587 NC Primary

Addresses

Primary practice location

11911 US Hwy 70 W
Clayton, NC 27520

Mailing address

361 The Greens Cir
Apt 344
Raleigh, NC 27606-5255
Phone (412) 694-3393

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1679025894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 THE GREENS CIR",
            "address_2": "APT 344",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276065255",
            "telephone_number": "412-694-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 US HWY 70 W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "27520",
            "telephone_number": "919-359-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "919-359-2900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "26587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.