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CVS PHARMACY INC NPI 1659475457


NPI Information

NPI: 1659475457
Provider Name: CVS PHARMACY INC

Doing Business As: CVS PHARMACY 07642

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 45D2281442

Address:
6640 LAKE WORTH BLVD
LAKE WORTH, TX
ZIP 76135
Phone: (817) 237-3363
Get Directions

CVS PHARMACY INC is a pharmacy in Lake Worth, TX. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CVS PHARMACY INC NPI is 1659475457. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy 07642.

The provider's business location address is:

6640 LAKE WORTH BLVD
LAKE WORTH, TX
ZIP 76135-000
Phone: (817) 237-3363
Fax: (817) 238-8725

The provider's authorized official is Susan Colbert .
The authorized official title is Director, Payer Relations and has the following contact phone number (401) 770-2751.

The CLIA number assigned to this NPI record is 45D2281442 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 3/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy24679TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PH0708MEDICARE PIN
24580800OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
31284730033MEDICARE NSC
4000463126MEDICAIDTEXAS
5P00754740MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.