CVS

Organization Active NPI Pharmacist · Charlotte, NC

NPI 1720533003 · NPPES record last updated Aug 17, 2016

Key facts

NPI
1720533003
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacist 183500000X
License
26348 (NC)
Legal business name
CVS
Practice address
10515 Mallard Creek Rd
Charlotte, NC 28262-9785
Phone
(704) 547-9739
NPI assigned
Aug 17, 2016
Organization subpart
No

Authorized official

Name
Anthony Pagano
Title
Pharmacist
Phone
(607) 345-4393

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
CVS Pharmacy Inc Agent for CVS RX Services Inc (1,253 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist
Group: 193400000X SINGLE SPECIALTY GROUP
183500000X 26348 NC Yes

Addresses

Primary practice location

10515 Mallard Creek Rd
Charlotte, NC 28262-9785

Mailing address

10515 Mallard Creek Rd
Charlotte, NC 28262-9785

Other providers in Charlotte, NC

All providers in Charlotte, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.