Active NPI
Pennsylvania CVS Pharmacy, L.L.C.
Doing business as CVS Pharmacy 02524
- Pharmacy
- Feasterville Trevose, PA
National Provider Identifier
1720182504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PP415502L
- Legal business name
- PENNSYLVANIA CVS PHARMACY, L.L.C.
- Doing business as
- CVS Pharmacy 02524
- Practice address
- 298 E Street Rd
Feasterville Trevose, PA 19053-7605 - Phone
- (215) 942-5141
- NPI assigned
- Sep 12, 2006
- Last updated
- Sep 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Colbert
- Title
- Dir Phcy Enrollments
- Phone
- (401) 770-2751
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | PP415502L | PA | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
298 E Street Rd
Feasterville Trevose, PA 19053-7605
Mailing address
1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other names 1
- CVS PHARMACY 02524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080116000450 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8527149566 | This NPI is an additional NPI on the enrollment |
| O20100930020340 | PA | DME Supplier - Pharmacy | 8527149566 | Practice locations: Feasterville Trevose, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pennsylvania CVS Pharmacy LLC | 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 |
National Provider Directory
National Provider Directory- Tax ID family
- Pennsylavanis CVS Pharm
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.
-
dba CVS Pharmacy #16966
- Pharmacy
- Wilkes Barre Township, PA
- NPI 1699797332
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
298 E Street Rd
Feasterville Trevose, PA 19053
Phone (215) 942-5141
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Feasterville Trevose, PA
- NPI 1114523354
-
- Pharmacist
- Feasterville Trevose, PA
- NPI 1699699546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285545600000",
"number": "1720182504",
"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",
"telephone_number": "401-765-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "298 E STREET RD",
"city": "FEASTERVILLE TREVOSE",
"state": "PA",
"postal_code": "190537605",
"telephone_number": "215-942-5141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENNSYLVANIA CVS PHARMACY, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2010-09-27",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "DIR PHCY ENROLLMENTS",
"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": "PA",
"license": "PP415502L",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY 02524",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Feasterville Trevose, PA
- Patient First Pennsylvania Medical Group (Patient First Feasterville)
- Patient First Pennsylvania Medical Group PLLC
- Katherine Susan Patten
- Pavansut Group LLC (Pavan Homecare)
- Shardae Pennick, LSW
- Fabienne Pepe
- Michelle Jeanette Perrine-Mitchell, MS
- Arnold Pfannenstiel, D.D.S. ,F.A.G.D.
- Nishita Philip
- Solomia Ponomarenko, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.