Active NPI
Ga CVS Pharmacy LLC
Doing business as CVS Pharmacy
- Community/Retail Pharmacy
- Marietta, GA
National Provider Identifier
1881757482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GA CVS PHARMACY LLC
- Doing business as
- CVS Pharmacy
- Practice address
- 4250 Roswell Rd NE
Marietta, GA 30062 - Phone
- (770) 565-4064
- NPI assigned
- Dec 18, 2006
- Last updated
- Aug 22, 2020
- 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
- Kathleen Pinette
- Title
- TP Pharmacy Enrollment
- Phone
- (401) 770-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
4250 Roswell Rd NE
Marietta, GA 30062
Mailing address
4250 Roswell Rd NE
Marietta, GA 30062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1155250 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- CVS PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- CVS Pharmacy 06861
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.
Locations
4250 Roswell Rd
Marietta, GA 30062
Phone (770) 565-4054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881757482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 ROSWELL RD NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 ROSWELL RD NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30062",
"telephone_number": "770-565-4064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GA CVS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PINETTE",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "TP PHARMACY ENROLLMENT",
"authorized_official_telephone_number": "401-770-1500"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "1155250",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.