Pennsylvania CVS Pharmacy, L.L.C.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP413792L Issued in PA

Legal business name

PENNSYLVANIA CVS PHARMACY, L.L.C.

Doing business as

CVS PHARMACY #01296

Practice address

5001 Township Line Rd
Drexel Hill, PA 19026-4821

Phone

(610) 623-1393

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Susan F Colbert

Title

Director

Phone

(401) 765-1500

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CVS PHARMACY #01296 Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 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.

Medicare medical equipment & supply locations

Tax ID family

Pennsylvania CVS Pharmacy LLC431 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.

• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Belle Vernon, PA
  • NPI 1902909740
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Lititz, PA
  • NPI 1912286717
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Homestead, PA
  • NPI 1922020650
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Indiana, PA
  • NPI 1922101773
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Wind Gap, PA
  • NPI 1922105428
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • North Huntingdon, PA
  • NPI 1932121670
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Mt Pleasant, PA
  • NPI 1932202785
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Pittsburgh, PA
  • NPI 1932445558
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Pittsburgh, PA
  • NPI 1942303706
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Harrisburg, PA
  • NPI 1942384474
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Philadelphia, PA
  • NPI 1942836291
  NPD tax ID
• Pennsylvania CVS Pharmacy LLC

  • Pharmacy
  • Philadelphia, PA
  • NPI 1952038945
  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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1922106665",
    "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": "5001 TOWNSHIP LINE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264821",
            "telephone_number": "610-623-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA CVS PHARMACY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "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": "PA",
            "license": "PP413792L",
            "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": "3951096",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS PHARMACY #01296",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Alease Patton, NP
• Paul Carpinello, DMD, MSD, PC
• Pauline M. Samuels, M.D., PC
• Stephanie J Pearson, MD
• Pennsylvania CVS Pharmacy LLC
• Barbara Perin
• Kaitlin Perni
• Maura Perni, PT, DPT, OCS
• Peter L. King D.P.M.
• Rashina Peterkin

• Pharmacy in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.