Ohio CVS Stores LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

02-1079650 Issued in OH

Legal business name

OHIO CVS STORES LLC

Doing business as

CVS Pharmacy #07790

Practice address

947 Cincinnati Batavia Pike
Cincinnati, OH 45245-1303

Phone

(513) 948-2802

NPI assigned

Sep 12, 2006

Last updated

Oct 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Colbert

Title

Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other names 1

• CVS PHARMACY #07790 Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

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

Tax ID family

Ohio CVS Stores LLC311 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.

• Ohio CVS Stores LLC

  dba CVS Pharmacy #04331

  • Pharmacy
  • Conneaut, OH
  • NPI 1710080460
  NPD tax ID
• Ohio CVS Stores LLC

  dba CVS Pharmacy 04800

  • Pharmacy
  • Akron, OH
  • NPI 1710080478
  NPD tax ID
• Ohio CVS Stores LLC

  dba CVS Pharmacy 04805

  • Pharmacy
  • Oberlin, OH
  • NPI 1710080536
  NPD tax ID
• Ohio CVS Stores LLC

  dba CVS Pharmacy 04621

  • Pharmacy
  • Galloway, OH
  • NPI 1710080544
  NPD tax ID
• Ohio CVS Stores LLC

  dba CVS Pharmacy #02540

  • Pharmacy
  • Hilliard, OH
  • NPI 1710081534
  NPD tax ID
• Ohio CVS Stores LLC

  dba CVS Pharmacy #

  • Community/Retail Pharmacy
  • Whitehall, OH
  • NPI 1710909429
  NPD tax ID
• Ohio CVS Stores LLC

  dba CVS Pharmacy 05918

  • Pharmacy
  • Columbus, OH
  • NPI 1720181183
  NPD tax ID
• Ohio CVS Stores LLC

  dba CVS Pharmacy #03353

  • Pharmacy
  • Lorain, OH
  • NPI 1720181449
  NPD tax ID
• Ohio CVS Stores LLC

  dba CVS Pharmacy 04320

  • Pharmacy
  • Cleveland, OH
  • NPI 1720181464
  NPD tax ID
• Ohio CVS Stores LLC

  dba CVS Pharmacy 04349

  • Pharmacy
  • Middlefield, OH
  • NPI 1720181472
  NPD tax ID
• Ohio CVS Stores LLC

  dba CVS Pharmacy 06953

  • Pharmacy
  • Reynoldsburg, OH
  • NPI 1720181548
  NPD tax ID
• Ohio CVS Stores LLC

  dba CVS Pharmacy 04400

  • Pharmacy
  • Gallipolis, OH
  • NPI 1720181555
  NPD tax ID

Member of 1

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

• CVS Pharmacy Inc

  dba CVS Pharmacy #10339

  • Pharmacy
  • Lindale, TX
  • NPI 1255320644

  Member Of

  NPD member

Locations (25 of 159)

Practitioners 9

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.

• Christina Renee Jahoda, PHARMD

  • Pharmacist
  • Northfield, OH
  • NPI 1114521200
  NPD (past)
• Derrick Marple, MSN-FNP

  • Family Nurse Practitioner
  • New Carlisle, OH
  • NPI 1750037560
  NPD (past)
• Omar Najjar, PHARMD

  • Pharmacist
  • Northfield, OH
  • NPI 1427653641
  NPD (past)
• Charles Michael Neu, RPH

  • Pharmacist
  • Germantown, OH
  • NPI 1548472293
  NPD (past)
• Marisa Christina Roberto, FNP

  • Family Nurse Practitioner
  • Strongsville, OH
  • NPI 1255921656
  NPD (past)
• Daniel Roberts, NP

  • Family Nurse Practitioner
  • Findlay, OH
  • NPI 1801560727
  NPD (past)
• Balraj Singh, RPH

  • Pharmacist
  • Northfield, OH
  • NPI 1134842008
  NPD (past)
• Jeffrey Daniel Smich, R.PH.

  • Pharmacist
  • Northfield, OH
  • NPI 1659386365
  NPD (past)
• Stephanie Ann Kostan, FNP

  • Family Nurse Practitioner
  • Metter, GA
  • NPI 1336799006
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1720182546",
    "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": "947 CINCINNATI BATAVIA PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451303",
            "telephone_number": "513-948-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO CVS STORES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "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": "OH",
            "license": "02-1079650",
            "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 #07790",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ohio CVS Stores LLC (CVS Pharmacy 06095)
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• Ohio CVS Stores LLC (CVS Pharmacy #02715)
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• Ohio Department of Health

• Pharmacy in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.