NPIMap

Organization Active NPI

CVS Pharmacy

  • Pharmacist
  • Winston Salem, NC
National Provider Identifier
1699142992
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24259 Issued in NC
Legal business name
CVS PHARMACY
Practice address
855 Hanes Mall Blvd
Winston Salem, NC 27103-5526
Phone
(336) 768-2888
NPI assigned
Aug 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Mohammed Moustafa
Title
Pharmacist
Phone
(917) 485-0799

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 24259 NC Primary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 28RI03711700 NJ

Addresses

Primary practice location

855 Hanes Mall Blvd
Winston Salem, NC 27103-5526

Mailing address

855 Hanes Mall Blvd
Winston Salem, NC 27103-5526

National Provider Directory

National Provider Directory

Locations

855 Hanes Mall Blvd
Winston Salem, NC 27103
Phone (336) 760-3530

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1699142992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 HANES MALL BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 HANES MALL BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035526",
            "telephone_number": "336-768-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "MOUSTAFA",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "917-485-0799"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "24259",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03711700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.