CVS

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

034318 Issued in NY

Legal business name

CVS

Practice address

682 Route 25a
East Setauket, NY 11733-1238

Phone

(631) 246-8735

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jerome M Wexler

Title

Supervising Pharmacist

Phone

(631) 246-8735

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1962689604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "682 ROUTE 25A",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331238",
            "telephone_number": "631-246-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 ROUTE 25A",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331238",
            "telephone_number": "631-246-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "WEXLER",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "631-246-8735",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "034318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Cruickshank, M.D.
• Krystyne Marie Cucolo, M.A., CCC-SLP
• Joseph Andrew Cucrio, DC
• Arianna B Cuocco, PA-C
• Skylar Marie Cuppett
• Daniel G Cyr, DO
• Sarah D'Amato
• Christina D'Ambrose, REGISTERED NURSE
• Patricia Ann D'Amico, SLP
• Lionel S. D'Souza, MD

• Preferred Provider Organization in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Preferred Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.