NPIMap

Organization Active NPI

CVS Health

  • Community/Retail Pharmacy
  • Phoenix, AZ
National Provider Identifier
1700483625
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CVS HEALTH
Practice address
2406 E Thomas Rd
Phoenix, AZ 85016-7912
Phone
(602) 956-1800
NPI assigned
Oct 4, 2020
Last updated
Oct 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Ray Conrad Espiritu HernandezNPI 1033711502
Title
Pharmacist
Phone
(623) 606-5277

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2406 E Thomas Rd
Phoenix, AZ 85016-7912

Mailing address

25435 N 115TH Ave
Peoria, AZ 85383-9789
Phone (623) 606-5277

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1700483625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25435 N 115TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853839789",
            "telephone_number": "623-606-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167912",
            "telephone_number": "602-956-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "RAY CONRAD",
        "authorized_official_middle_name": "ESPIRITU",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "623-606-5277"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.