Active NPI
Arizona CVS Stores LLC
Doing business as CVS Pharmacy 09293
- Pharmacy
- Apache Junction, AZ
National Provider Identifier
1871539924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- ARIZONA CVS STORES LLC
- Doing business as
- CVS Pharmacy 09293
- Practice address
- 325 W Apache Trail
Apache Junction
Apache Junction, AZ 85120-3954 - Phone
- (480) 983-1129
- NPI assigned
- Jun 20, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan F Colbert
- Title
- Director Pharmacy Enrollments
- Phone
- (401) 770-2751
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
325 W Apache Trail
Apache Junction
Apache Junction, AZ 85120-3954
Mailing address
1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other names 1
- CVS PHARMACY 09293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100107000345 | AZ | Part B Supplier - Mass Immunization (Roster Biller Only) | 6406997899 | This NPI is an additional NPI on the enrollment |
| O20100930007006 | AZ | DME Supplier - Pharmacy | 6406997899 | Practice locations: Apache Junction, AZ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2285406 | Arizona CVS Stores, LLC Dba CVS/Pharmacy | Certificate of waiver | Jul 10, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #09293 | Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urologic… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- CVS
Organizations with this tax ID in the same state 21
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
325 W Apache Trl
#9293
Apache JCT, AZ 85120
Phone (480) 983-1129
325 W Apache Trl
Apache Junction, AZ 85120
Phone (480) 973-1129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1871539924",
"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": "325 W APACHE TRAIL",
"address_2": "APACHE JUNCTION",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "851203954",
"telephone_number": "480-983-1129"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA CVS STORES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-20",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "DIRECTOR PHARMACY ENROLLMENTS",
"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": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY 09293",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Apache Junction, AZ
- Apache Plume Healthcare Associates PC
- Ar Foote Chiropractic & Health Services, PLLC (Alexander R. Foote, DC)
- Catherine Pagayonan Araza
- Lowell Arbuckle
- Arizona CVS Stores LLC (CVS Pharmacy)
- Arizona Skin and Laser Therapy Institute, LTD
- Assisted Living Concepts Inc (Aurora House)
- At Home Solutions LLC
- At Home Solutions LLC
- Stacey L. Atkins, M.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.