Active NPI
CVS Pharmacy Inc
- Pharmacy
- Tomball, TX
National Provider Identifier
1972607760
On this page
- Key facts
- Authorized official
- Corporate family (same tax ID)24
- Practitioners3
- Laboratory certificates & supplier records
- Medicare participation
- Medicare enrollment records2
- National Provider Directory
- Specialties & licenses2
- Addresses
- Other identifiers2
- Other names1
- NPI Registry JSON
- Other providers in Tomball, TX
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 24661
- Legal business name
- CVS PHARMACY INC
- Practice address
- 815 W Main St
Tomball, TX 77375-5541 - Phone
- (281) 255-8265
- Fax
- (281) 255-3726
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Cristiana Mauricio
- Title
- MGR Phcy Enrollments
- Phone
- (401) 770-2937
Corporate family (same tax ID) 24
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Gun Barrel City, TX
- NPI 1952460016
-
- Pharmacy
- Pharr, TX
- NPI 1952645889
-
- Pharmacy
- Anna, TX
- NPI 1952728073
-
- Pharmacy
- El Paso, TX
- NPI 1952815342
-
- Pharmacy
- College Station, TX
- NPI 1962424630
-
- Pharmacy
- Amarillo, TX
- NPI 1962425249
-
- Pharmacy
- North Richland Hills, TX
- NPI 1962509463
-
- Pharmacy
- Mexia, TX
- NPI 1962715136
-
- Pharmacy
- Willis, TX
- NPI 1962944330
-
- Pharmacy
- Houston, TX
- NPI 1972607794
-
- Pharmacy
- Denton, TX
- NPI 1982001319
-
- Pharmacy
- Belton, TX
- NPI 1982016481
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Tomball, TX
- NPI 1083497804
-
- Pharmacist
- Tomball, TX
- NPI 1922602069
-
- Pharmacist
- Tomball, TX
- NPI 1366046427
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 |
|---|---|---|---|
| 45D2284698 | CVS Pharmacy, Inc Dba CVS/Pharmacy #07448 | Certificate of waiver | Jun 26, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #07448 | 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 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090408000170 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092711895 | This NPI is an additional NPI on the enrollment |
| O20100930075048 | TX | DME Supplier - Pharmacy | 5092711895 | Practice locations: Tomball, TX |
National Provider Directory
National Provider Directory- Tax ID family
- CVS Pharmacy Inc Agent for CVS RX Services Inc
Locations
815 W Main St
Tomball, TX 77375
Phone (281) 255-8265
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 24661 | TX | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
NPPES NPI RegistryPrimary practice location
815 W Main St
Tomball, TX 77375-5541
Mailing address
1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4568056 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 000462418 | Medicaid | TX |
Other names 1
NPPES NPI Registry- CVS PHARMACY #07448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2015.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425340800000",
"number": "1972607760",
"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": "815 W MAIN ST",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773755541",
"telephone_number": "281-255-8265",
"fax_number": "281-255-3726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CVS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2015-03-03",
"status": "A",
"authorized_official_last_name": "MAURICIO",
"authorized_official_first_name": "CRISTIANA",
"authorized_official_title_or_position": "MGR PHCY ENROLLMENTS",
"authorized_official_telephone_number": "401-770-2937"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "24661",
"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": "4568056",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000462418",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS PHARMACY #07448",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.