New Jersey CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

RS005358 Issued in NJ

Legal business name

NEW JERSEY CVS PHARMACY LLC

Practice address

107 E 1St Ave
Roselle, NJ 07203-1209

Phone

(908) 245-7848

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Tax ID family

New Jersey CVS Pharmacy LLC336 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.

• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • North Brunswick, NJ
  • NPI 1669575486
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Flemington, NJ
  • NPI 1669576484
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Northplainfield, NJ
  • NPI 1679656201
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Galloway, NJ
  • NPI 1679665277
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • North Brunswick, NJ
  • NPI 1679677496
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Haddonfield, NJ
  • NPI 1689757908
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Wayne, NJ
  • NPI 1689758278
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Manalapan, NJ
  • NPI 1689766289
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Lambertville, NJ
  • NPI 1689778409
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Marlton, NJ
  • NPI 1699858753
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Moorestown, NJ
  • NPI 1699867291
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Budd Lake, NJ
  • NPI 1700978285
  NPD tax ID

Member of 1

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

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

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

Authorized official

Name

Susan Colbert

Title

Director

Phone

(401) 765-1500

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY 02064 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2010.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1700978434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "PO BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E 1ST AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031209",
            "telephone_number": "908-245-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "RS005358",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3138131",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY 02064",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Roselle, NJ
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.