New Jersey CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

RS04759 Issued in NJ

Legal business name

NEW JERSEY CVS PHARMACY LLC

Practice address

3401 Simpson Ave
Ocean City, NJ 08226

Phone

(609) 399-5252

NPI assigned

Sep 29, 2006

Organization subpart

No

Name

Susan Colbert

Title

Director

Phone

(401) 765-1500

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

• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Fairfield, NJ
  • NPI 1740202357
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Toms River, NJ
  • NPI 1740372341
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Westfield, NJ
  • NPI 1740383561
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • North Bergen, NJ
  • NPI 1750464384
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Bloomfield, NJ
  • NPI 1750473351
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Bedminster, NJ
  • NPI 1750484572
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Gibbsboro, NJ
  • NPI 1750576294
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Cherry Hill, NJ
  • NPI 1760404370
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • South Plainfield, NJ
  • NPI 1760565394
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Pequannock, NJ
  • NPI 1760574362
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Lumberton, NJ
  • NPI 1770125684
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • North Arlington, NJ
  • NPI 1770666091
  NPD tax ID

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

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

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Tax ID family

New Jersey CVS Pharmacy LLC (336 organizations share this tax ID)

Locations

• CVS PHARMACY 00961 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2010.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1770675258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "PO BOX 1075 - PHARMACY ENROLLMENTS",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500",
            "fax_number": "401-770-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SIMPSON AVE",
            "city": "OCEAN CITY",
            "state": "NJ",
            "postal_code": "08226",
            "telephone_number": "609-399-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-11-02",
        "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": "NJ",
            "license": "RS00475900",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "RS04759",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3134006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY 00961",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Ocean City, NJ
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.