North Carolina CVS Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

09325 Issued in NC

Legal business name

NORTH CAROLINA CVS PHARMACY LLC

Practice address

13440 NC 210 Hwy
Benson, NC 27504

Phone

(919) 207-3086

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

Susan F Colbert

Title

Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY #00427 Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Tax ID family

North Carolina CVS Pharmacy324 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

  • Health Service Clinic/Center
  • Summerfield, NC
  • NPI 1790219699
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Cary, NC
  • NPI 1720181498
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Boone, NC
  • NPI 1730282419
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Hildebran, NC
  • NPI 1740383421
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Elizabeth City, NC
  • NPI 1740383439
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Raleigh, NC
  • NPI 1740475078
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Davidson, NC
  • NPI 1750464798
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Greensboro, NC
  • NPI 1750484440
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Charlotte, NC
  • NPI 1750485421
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Columbus, NC
  • NPI 1760585459
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Sneads Ferry, NC
  • NPI 1770686461
  NPD tax ID
• North Carolina CVS Pharmacy LLC

  • Pharmacy
  • Statesville, NC
  • NPI 1770686529
  NPD tax ID

Member of 1

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

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

Locations

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

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1750489308",
    "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",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13440 NC 210 HWY",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "27504",
            "telephone_number": "919-207-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3406142",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY #00427",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vicky Mooring, M.D.
• Morgan Barnes Moore, D.M.D., P.L.L.C.
• Benita Mukenge, PHARMD
• Jennica K NG, MD
• Nine-to-Five Medical Supply LLC
• Ohio Valley Physicians Inc
• Optimum Home Care, LLC
• Pac Sun Properties, LLC
• Nisha Parekh, PHARMD
• Meagan Maida Parker, D.M.D

• All providers in Benson, NC
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.