German Dobson CVS LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

GERMAN DOBSON CVS LLC

Doing business as

CVS Pharmacy #10425

Practice address

20 Airport Rd
Sedona, AZ 86336-5805

Phone

(928) 282-8569

NPI assigned

Sep 1, 2016

Last updated

Dec 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Colbert

Title

Sr Director Payer Relations

Phone

(401) 770-2751

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• CVS PHARMACY #10425 Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Member of 1

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

• CVS Pharmacy Inc.

  dba CVS Pharmacy #17247

  • Pharmacy
  • North Dartmouth, MA
  • NPI 1831271071

  Member Of

  NPD member

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Austin Freeman, PHARMD

  • Pharmacist
  • Prescott, AZ
  • NPI 1437814787
  NPD (past)
• Sabrina K Hamman, PHARMD

  • Pharmacist
  • Sedona, AZ
  • NPI 1083113682
  NPD (past)
• Jeffrey Ryan Kolb, PHARMD

  • Pharmacist
  • Prescott Valley, AZ
  • NPI 1033729702
  NPD (past)
• Christine Hansman Marsh

  • Pharmacist
  • Sedona, AZ
  • NPI 1346766409
  NPD (past)
• Andrea Jo Muzzarelli, R.PH.

  • Pharmacist
  • Sedona, AZ
  • NPI 1023656212
  NPD (past)
• Brady Raymond Tucker

  • Pharmacist
  • Sedona, AZ
  • NPI 1528577079
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1811444342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "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": "20 AIRPORT RD",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365805",
            "telephone_number": "928-282-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMAN DOBSON CVS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR DIRECTOR PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0361181",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200306",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY #10425",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jared David Freeman, BS
• Sandra Jacquin Gabell, M.ED
• Sally Gebler, L.M.T.
• Hope Shelley Geller-Fischel, C.P.N.P.
• George L. Moore, D.D.S.,P.C.
• Stephen Gill, PHD
• Daniel Goldsmith, M.D.
• Goodwill Industries NA Sedona
• Joyeaux Noel Gosser, LMT
• Grace Mental Health Services PLLC

• Pharmacy in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.