Ohio CVS Stores LLC
Organization Active NPI Pharmacy · Cincinnati, OH
NPI 1720182546 · NPPES record last updated Oct 26, 2011
Key facts
- NPI
- 1720182546
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 02-1079650 (OH)
- Legal business name
- OHIO CVS STORES LLC
- Practice address
- 947 Cincinnati Batavia Pike
Cincinnati, OH 45245-1303 - Phone
- (513) 948-2802
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Susan Colbert
- Title
- Director, Payer Relations
- Phone
- (401) 770-2751
Corporate family (same tax ID) 24
Member of 1
Practitioners 5
-
Derrick Marple, MSN-FNP
-
Charles Michael Neu, RPH
-
Daniel Roberts, NP
-
Stephanie Ann Kostan, FNP
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #07790 |
Immunosuppressive 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|Urological Supplies|Ent… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101111000369 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 4981806023 | This NPI is an additional NPI on the enrollment |
| O20110426000574 | OH | DME Supplier - Pharmacy | 4981806023 | Practice locations: Cincinnati, OH |
National Provider Directory
- Tax ID family
- CVS Pharmacy 05364
Locations (25 of 131)
1140 Portage Trail Ext
Akron, OH 44313
Phone (330) 836-1066
1140 Portage Trail Ext
#4488
Akron, OH 44313
Phone (330) 929-2023
2091 Eastwood Ave
#4333
Akron, OH 44305
Phone (330) 630-9066
2091 Eastwood Ave
Akron, OH 44305
Phone (330) 630-9066
1949 W Market St
#3306
Akron, OH 44313
Phone (330) 867-5410
590 E Market St
#4800
Akron, OH 44304
Phone (330) 535-2700
52 W Main St
Amelia, OH 45102
Phone (513) 943-6201
1819 E Prospect Rd
Ashtabula, OH 44004
Phone (440) 998-2216
1819 E Prospect Rd
#3362
Ashtabula, OH 44004
Phone (440) 998-2216
118 W Garfield Rd
Aurora, OH 44202
Phone (330) 416-3809
375 Lear Rd
#4078
Avon Lake, OH 44012
Phone (440) 933-2525
375 Lear Rd
Avon Lake, OH 44012
Phone (440) 933-2525
426 Robinson Ave
#3320
Barberton, OH 44203
Phone (330) 753-1013
426 Robinson Ave
Barberton, OH 44203
Phone (330) 753-1013
14372 Snow Rd
#3028
Brook Park, OH 44142
Phone (216) 676-4380
1116 Wheeling Ave
#3472
Cambridge, OH 43725
Phone (740) 439-3502
1116 Wheeling Ave
Cambridge, OH 43725
Phone (740) 439-3502
3506 Gender Rd
#5717
Canal Winchester, OH 43110
Phone (614) 837-5588
16801 Chillicothe Rd
#4804
Chagrin Falls, OH 44023
Phone (440) 543-7475
296 Center St
Chardon, OH 44024
Phone (440) 286-9445
296 Center St
#3317
Chardon, OH 44024
Phone (440) 286-9445
11611 Hamilton Ave
Cincinnati, OH 45231
Phone (513) 742-1155
3728 Pearl Rd
Ste B
Cleveland, OH 44109
Phone (216) 749-5454
14025 Puritas Ave
#4320
Cleveland, OH 44135
Phone (216) 671-5670
4240 Pearl Rd
#3314
Cleveland, OH 44109
Phone (216) 398-6900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 02-1079650 | OH | Yes |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
947 Cincinnati Batavia Pike
Cincinnati, OH 45245-1303
Mailing address
1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3665683 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- CVS PHARMACY #07790
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.