NPIMap

Organization Active NPI

North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Winston Salem, NC
National Provider Identifier
1699797258
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
NORTH CAROLINA CVS PHARMACY LLC
Practice address
1040 Hanes Mall Blvd
Winston Salem, NC 27103-1309
Phone
(336) 774-9623
Fax
(336) 776-3821
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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) 770-2751

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X 12843 NC

Addresses

Primary practice location

1040 Hanes Mall Blvd
Winston Salem, NC 27103-1309

Mailing address

1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500

Other identifiers 1

IdentifierTypeStateIssuer
2071819OtherPK

Other names 1

  • CVS Pharmacy #16465 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080116000795 NC Part B Supplier - Mass Immunization (Roster Biller Only) 9133200017 This NPI is an additional NPI on the enrollment
O20161024002694 NC DME Supplier - Pharmacy 9133200017 Practice locations: Winston Salem, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
North Carolina CVS Pharmacy LLC1040 Hanes Mall Blvd, Winston Salem, NC 27103-1309(336) 774-9623 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 assignmentParticipating since Jan 1, 2025

National Provider Directory

National Provider Directory
Tax ID family
North Carolina CVS Pharmacy324 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.

View all 24

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 2,033)

150 W 100th Ave
Ste A
Anchorage, AK 99515
Phone (907) 267-7501

1801 E Parks Hwy
#2339
Wasilla, AK 99654
Phone (907) 631-7201

1801 E Parks Hwy
Wasilla, AK 99654
Phone (907) 373-9510

250 S Colonial Dr
#2276
Alabaster, AL 35007
Phone (205) 564-2609

4889 Promenade Pkwy
Bessemer, AL 35022
Phone (205) 565-3761

4889 Promenade Pkwy
#2375
Bessemer, AL 35022
Phone (205) 565-3761

1654 Gadsden Hwy
#1773
Birmingham, AL 35235
Phone (205) 655-2310

1698 US Highway 98
Daphne, AL 36526
Phone (251) 626-5739

1698 US Highway 98
#1274
Daphne, AL 36526
Phone (251) 626-5739

1235 Point Mallard Pkwy SE
#2084
Decatur, AL 35601
Phone (256) 898-3034

4601 Montgomery Hwy
Ste 300
Dothan, AL 36303
Phone (334) 340-1113

372 Cox Creek Pkwy
Florence, AL 35630
Phone (256) 766-9839

372 Cox Creek Pkwy
#1322
Florence, AL 35630
Phone (256) 766-9839

3489 Lowery Pkwy
#2355
Fultondale, AL 35068
Phone (205) 453-6033

3489 Lowery Pkwy
Fultondale, AL 35068
Phone (205) 453-6033

3820 Gulf Shores Pkwy
Gulf Shores, AL 36542
Phone (251) 967-7001

3820 Gulf Shores Pkwy
#2154
Gulf Shores, AL 36542
Phone (251) 967-7002

531 Brookwood Vlg
#T2796
Homewood, AL 35209
Phone (205) 995-7532

531 Brookwood Vlg
Homewood, AL 35209
Phone (205) 994-7532

5561 Grove Blvd
Hoover, AL 35226
Phone (205) 747-1655

5561 Grove Blvd
#2503
Hoover, AL 35226
Phone (205) 747-1655

2750 Carl T Jones Dr SE
#1367
Huntsville, AL 35802
Phone (256) 883-6295

2750 Carl T Jones Dr SE
Ste 7
Huntsville, AL 35802
Phone (256) 650-3491

6275 University Dr NW
#1346
Huntsville, AL 35806
Phone (256) 971-0913

8207 Highway 72 W
#T2816
Madison, AL 35758
Phone (256) 690-5891

Practitioners & affiliated clinicians

Practitioners 324

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

View all 324

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1699797258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 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": "1040 HANES MALL BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031309",
            "telephone_number": "336-774-9623",
            "fax_number": "336-776-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-11-10",
        "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": "401-770-2751"
    },
    "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": "NC",
            "license": "12843",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2071819",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS Pharmacy #16465",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 10, 2016; 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.