CVS Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

24699 Issued in TX

Legal business name

CVS PHARMACY INC

Practice address

11820 Elam Rd
Balch Springs, TX 75180

Phone

(972) 286-3530

Fax

(972) 557-4995

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Cristiana Mauricio

Title

MGR Phcy Enrollments

Phone

(401) 770-2937

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CVS PHARMACY #07417 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 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.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

CVS Pharmacy Inc Agent for CVS RX Services Inc1,253 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.

• CVS Pharmacy Inc

  • Pharmacy
  • Houston, TX
  • NPI 1730283557
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Alvin, TX
  • NPI 1730286139
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Bedford, TX
  • NPI 1730286238
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • El Paso, TX
  • NPI 1730447087
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Pearland, TX
  • NPI 1740202407
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Liberty, TX
  • NPI 1740384536
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Lancaster, TX
  • NPI 1740384544
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Universal City, TX
  • NPI 1740384551
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Henderson, TX
  • NPI 1740384577
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Houston, TX
  • NPI 1740387141
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Granbury, TX
  • NPI 1740387232
  NPD tax ID
• CVS Pharmacy Inc

  • Pharmacy
  • Houston, TX
  • NPI 1740547678
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anuj S Bhardwaj, PHARMD., RPH

  • Pharmacist
  • Balch Springs, TX
  • NPI 1194501320
  NPD (past)
• Uchechi Ebinama

  • Pharmacist
  • Balch Springs, TX
  • NPI 1477315703
  NPD (past)
• Paul Hoover

  • Pharmacist
  • Balch Springs, TX
  • NPI 1922724871
  NPD (past)
• Mohammed Tariq Khan, PHARMD

  • Pharmacist
  • Balch Springs, TX
  • NPI 1265037576
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1740387240",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 ELAM RD",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "75180",
            "telephone_number": "972-286-3530",
            "fax_number": "972-557-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "MAURICIO",
        "authorized_official_first_name": "CRISTIANA",
        "authorized_official_title_or_position": "MGR PHCY ENROLLMENTS",
        "authorized_official_telephone_number": "401-770-2937"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "24699",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000462114",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4564868",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY #07417",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Balch Springs, TX
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.