CVS Manchester NH LLC
Organization Active NPI Pharmacy · Keene, NH
NPI 1689696288 · NPPES record last updated Nov 8, 2016
Key facts
- NPI
- 1689696288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- CVS MANCHESTER NH LLC
- Practice address
- 46 Ash Brook Rd
Keene, NH 03431-5918 - Phone
- (603) 354-2165
- Fax
- (603) 354-2155
- NPI assigned
- Jul 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Susan Colbert
- Title
- Sr. Director, Payer Relations
- Phone
- (401) 770-2751
Other NPIs on the same Medicare enrollment 45
Corporate family (same tax ID) 41
Member of 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Manchester NH, L.L.C. |
Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urologic… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100819000684 | NH | Part B Supplier - Mass Immunization (Roster Biller Only) | 1850425356 |
48 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Merrimack, NH; Milford, NH; Nashua, NH; North Conway, NH; Peterborough, NH; Plaistow, NH; Plymouth, NH; Portsmouth, NH… |
| O20161021000578 | NH | DME Supplier - Pharmacy | 1850425356 | Practice locations: Keene, NH |
National Provider Directory
- Tax ID family
- CVS Manchester NH L L C
Locations
46 Ash Brook Rd
Keene, NH 03431
Phone (603) 354-2165
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X | 0681P | NH |
Addresses
Primary practice location
46 Ash Brook Rd
Keene, NH 03431-5918
Mailing address
1 CVS Dr
Mail Code 1090
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2053916 | Other | PK |
Other names
- CVS Pharmacy #17203
Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.