CVS
Organization Active NPI Health Service Clinic/Center · Summerfield, NC
NPI 1790219699 · NPPES record last updated Apr 18, 2017
Key facts
- NPI
- 1790219699
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- License
- 183500000X (NC)
- Legal business name
- CVS
- Practice address
- 4601 US Highway 220 N
Summerfield, NC 27358-9207 - Phone
- (336) 643-7738
- NPI assigned
- Apr 18, 2017
- Organization subpart
- No
Authorized official
- Name
- Ranni Seedham
- Title
- District Supervisor
- Phone
- (336) 643-7738
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- North Carolina CVS Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 183500000X | NC | Yes |
Addresses
Primary practice location
4601 US Highway 220 N
Summerfield, NC 27358-9207
Mailing address
4601 US Highway 220 N
Summerfield, NC 27358-9207
Phone (336) 643-7738
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183500000X | Medicaid | NC |
Other providers in Summerfield, NC
- Kathy M Cornelius
- Cornerstone Health Care PA
- Dennis Oliver Courtney, III
- Mori A Crocker
- Anne Callan Cunningham
- Priyanka Chandrasen Dand
- Robin L Daniel
- Pamela Danko
- Lisa Dean
- Dignity Healthcare
All providers in Summerfield, NC · Health Service Clinic/Center in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.