PENNSYLVANIA CVS PHARMACY LLC


Address: 339 E Lancaster Ave, Wynnewood, PA 19096-1920
Phone: 6106491391

PENNSYLVANIA CVS PHARMACY LLC (NPI# 1104356971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104356971
Entity Type Organization
Organization Name PENNSYLVANIA CVS PHARMACY LLC
Other Organization Name CVS PHARMACY #10377
Practice Address 339 E Lancaster Ave
Wynnewood
PA 19096-1920
Mailing Address 1 Cvs Dr
Woonsocket
RI 02895-6146
Practice Telephone 6106491391
Mailing Telephone (401) 765-1500
Enumeration Date 2017-06-14
Last Update Date 2017-10-17
Authorized Official Name SUSAN F COLBERT (SR. DIRECTOR PAYER RELATONS)
Authorized Official Telephone 4017651500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers
Y 333600000X Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PA 1015538870533 05
PA NCPDP 6005486 01
PA MASS IMM 168230 01

Other Provider/Organization Names

Other Name Type Code
CVS PHARMACY #10377 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1376077545 Pennsylvania Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2400 Butler Pike, Plymouth Meeting, PA 19462 2017-04-14
1578094751 Pennsylvania Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 901 Sumneytown Pike, Spring House, PA 19477 2017-03-21
1750832465 Pennsylvania Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 501 N 22nd St, Philadelphia, PA 19130-3507 2016-10-18
1013465764 Pennsylvania Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 201 West Beaver Avenue, State College, PA 16801 2016-09-12
1144774795 Pennsylvania Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 4664 Browns Hill Road, Pittsburgh, PA 15217 2016-08-12
1588030001 Pennsylvania Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1678 Susquehanna Rd, Dresher, PA 19025 2015-08-19
1114393063 Pennsylvania Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 259 Market St, Philadelphia, PA 19106-4502 2015-08-14
1467835546 Pennsylvania Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1650 Menoher Blvd, Johnstown, PA 15905-2000 2015-07-07
1548641178 Pennsylvania Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1040 W Chester Pike, West Chester, PA 19382-5003 2015-06-09
1578950341 Pennsylvania Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1198 Scalp Ave, Johnstown, PA 15904-3053 2015-04-20

Office Location

Street Address 339 E LANCASTER AVE
City WYNNEWOOD
State PA
Zip Code 19096-1920

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831727866 Jeffrey Glenn Johnston Hospitalist Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 2020-03-27
1326500331 Maitri Pancholy Student in an Organized Health Care Education/Training Program Annenberg Center, G-10, 100 Lancaster Avenue, Wynnewood, PA 19096 2019-04-01
1306355987 Karie Elizabeth Melton Social Worker 250 E Wynnewood Rd E12, Wynnewood, PA 19096 2017-09-26
1518320662 Kaitlyn Kennard Surgery 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 2016-04-05
1366814675 Linda Elkins Counselor 543 Haverford Rd, Wynnewood, PA 19096 2015-10-26
1619347655 Tessa Kovick Registered Nurse 100 E Lancaster Ave Ste 114, Wynnewood, PA 19096 2015-10-02
1922476415 Amy Lenrow Skilled Nursing Facility 1510 Powder Mill Lane, Wynnewood, PA 19096 2015-09-14
1144602855 Casey Dajao Internal Medicine 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 2015-06-18
1649666223 Benjamin Larson Internal Medicine 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 2015-04-10
1760873285 Kathleen Gilmartin Nurse Practitioner 100 East Lancaster Ave, Wynnewood, PA 19096 2015-02-06
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356402424 Davids Pharmacy Pharmacy 1300 E Kerr Blvd, Wynnewood, OK 73098-1005 2006-12-13
1922102987 Rcl Pharmacy Services Inc Pharmacy 333 E Lancaster Ave, Wynnewood, PA 19096-1929 2006-09-12
1790897700 Crescent Drug Store Inc Pharmacy 116 S Dean A Mcgee Ave, Wynnewood, OK 73098-7822 2006-08-31
1457611691 Tepper Pharmacy Pharmacy 333 E Lancaster Ave, Wynnewood, PA 19096-1929 2012-05-22
1548396955 P&k Pharmacy Inc Pharmacy 100 E Lancaster Ave, Suite 12, Wynnewood, PA 19096-3450 2007-02-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811506561 Temple Community Pharmacy Pharmacy 3535 N 5th Street Hwy Ste 2, Reading, PA 19605-1703 2020-07-29
1487262614 Hometown Rx Services Pharmacy 3406 Edgmont Avenue, Suite B, Brookhaven, PA 19015 2020-07-14
1386269033 San Juan Pharmacy LLC Pharmacy 200 W Buttonwood St, Reading, PA 19601-2603 2020-06-09
1831719319 Mark Conklin Pharmacy 127 Greenbriar Dr, Wexford, PA 15090-7322 2020-04-24
1912536517 Hsjc LLC Pharmacy 4165 N Franklin St, Philadelphia, PA 19140-2207 2020-04-06
1962036806 Care Discount Pharmacy Pharmacy 5610 Derry St Ste 5, Harrisburg, PA 17111-3518 2020-03-01
1114564945 Priority Care Rx LLC Pharmacy 127 S 5th St Ste 190, Quakertown, PA 18951-1674 2019-11-27
1326683707 Vista Pharmacy LLC Pharmacy 938 N 8th St, Reading, PA 19604-2308 2019-11-09
1750926119 Dharm Nandan LLC Pharmacy 3808 Morrell Ave, Philadelphia, PA 19114-1915 2019-11-08
1871137208 My Philadelphia Pharmacy Inc Pharmacy 2901 E Thompson St, Front Store, Philadelphia, PA 19134 2019-10-29
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Competitor

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City WYNNEWOOD
Zip Code 19096

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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