New Jersey CVS Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

RS006189 Issued in NJ

Legal business name

NEW JERSEY CVS PHARMACY LLC

Practice address

1762 Ratzer Rd
Wayne, NJ 07470-2438

Phone

(973) 389-2077

NPI assigned

Sep 29, 2006

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

Director

Phone

(401) 765-1500

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY 02835 Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

New Jersey CVS Pharmacy LLC336 organizations share this tax ID, including this one

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.

• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Cherry Hill, NJ
  • NPI 1851686786
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Westwood, NJ
  • NPI 1861575185
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • West New York, NJ
  • NPI 1861584344
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • East Orange, NJ
  • NPI 1861584468
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Mahwah, NJ
  • NPI 1861596686
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Maplewood, NJ
  • NPI 1861888299
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Livingston, NJ
  • NPI 1871696609
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Fairview, NJ
  • NPI 1871909143
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Delran, NJ
  • NPI 1881616407
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Millville, NJ
  • NPI 1881776250
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Margate City, NJ
  • NPI 1881777944
  NPD tax ID
• New Jersey CVS Pharmacy LLC

  • Pharmacy
  • Hillside, NJ
  • NPI 1881778470
  NPD tax ID

Member of 1

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

Locations

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1881786473",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 RATZER RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702438",
            "telephone_number": "973-389-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-11-15",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "RS006189",
            "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": "3144867",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY 02835",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.