Active NPI
New Jersey CVS Pharmacy LLC
Doing business as CVS Pharmacy# 10363
- Pharmacy
- Howell, NJ
National Provider Identifier
1720459936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- NEW JERSEY CVS PHARMACY LLC
- Doing business as
- CVS Pharmacy# 10363
- Practice address
- 4251 U.S. Hwy 9
Howell, NJ 07731-3379 - Phone
- (732) 363-1198
- NPI assigned
- Oct 14, 2015
- Last updated
- Jun 29, 2016
- 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
- Director
- Phone
- (401) 765-1500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | NU | Primary | |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
4251 U.S. Hwy 9
Howell, NJ 07731-3379
Mailing address
1 CVS Dr
Woonsocket, RI 02895-6146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3151052 | Other | NJ | NCPDP |
Other names 1
- CVS Pharmacy# 10363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100830000881 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 2365566288 | This NPI is an additional NPI on the enrollment |
| O20160610001982 | NJ | DME Supplier - Pharmacy | 3678777851 | Practice locations: Howell, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- New Jersey CVS Pharm LLC
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.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
4251 US Highway 9
Howell, NJ 07731
Phone (732) 363-1198
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.
-
- Pharmacist
- Howell, NJ
- NPI 1558947622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467158400000",
"number": "1720459936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4251 U.S. HWY 9",
"city": "HOWELL",
"state": "NJ",
"postal_code": "077313379",
"telephone_number": "732-363-1198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW JERSEY CVS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-14",
"last_updated": "2016-06-29",
"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": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3151052",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS Pharmacy# 10363",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Howell, NJ
- Lindsay Neill
- Christopher David Nelson, MSW, LSW
- New Horizon Rehabilitation East LLC
- New Horizon Rehabilitation West LLC
- New Jersey CVS Pharmacy LLC (CVS Pharmacy #16944)
- New Jersey Podiatric Physicians & Surgeons Group, LLC
- New Jersey Podiatric Physicians and Surgeons Group, LLC
- New Leaf Counseling
- New Tomorrow Behavioral Health Inc.
- Justin NG, L.AC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.