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CVS PHARMACY INC NPI 1952460016


NPI Information

NPI: 1952460016
Provider Name: CVS PHARMACY INC

Doing Business As: CVS PHARMACY 07419

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1279 W MAIN STREET
GUN BARREL CITY, TX
ZIP 75156
Phone: (903) 887-6498
Get Directions

CVS PHARMACY INC is a pharmacy in Gun Barrel City, 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 1952460016. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy 07419.

The provider's business location address is:

1279 W MAIN STREET
GUN BARREL CITY, TX
ZIP 75156
Phone: (903) 887-6498
Fax: (903) 887-3136

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


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 Supplies24700TEXASNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy24700TEXASYes

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
11284730055MEDICARE NSC
2P00754740MEDICARE PIN
3PH0708MEDICARE PIN
44566999OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
5465867MEDICAIDTEXAS
6169247701OTHERTEXASMEDICAID DME

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

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