OHIO CVS STORES LLC (NPI# 1124121579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124121579 |
| Entity Type | Organization |
| Organization Name | OHIO CVS STORES LLC |
| Other Organization Name | CVS PHARMACY 03314 |
| Practice Address |
4240 Pearl Rd Cleveland OH 44109-4217 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2163986900 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-07-29 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 2167150 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3605271 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 03314 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639724487 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 6030 N Hamilton Rd, Westerville, OH 43081-1685 | 2019-08-08 |
| 1942797345 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 1892 North High St, Columbus, OH 43210 | 2018-04-20 |
| 1922524859 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 2104 S. Byrne Rd, Toledo, OH 43614 | 2017-08-22 |
| 1124575865 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 210 E Emmitt Ave, Waverly, OH 45690-1336 | 2016-09-09 |
| 1154721264 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 10560 Sawmill Rd, Powell, OH 43065 | 2014-08-26 |
| 1043626138 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 2210 West Tuscarawas St, Canton, OH 44708 | 2014-07-09 |
| 1033545991 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 3761 Massilon Rd, Green, OH 44685 | 2013-09-23 |
| 1225461874 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 212 E Wooster St, Bowling Green, OH 43402-2921 | 2013-08-19 |
| 1477844926 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 1130 Lincoln Way East, Massillon, OH 44646 | 2011-05-02 |
| 1922398437 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 7292 Fulton Dr Nw, Canton, OH 44718-1525 | 2011-04-18 |
| Street Address |
4240 PEARL RD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44109-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| 1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
| 1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
| 1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
| 1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
| 1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
| Find all providers in zip 44109 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617352 | Ritefyl LLC | Pharmacy | 10414 Saint Clair Ave, Cleveland, OH 44108-1957 | 2019-12-28 |
| 1487211058 | Black Bear Pharmacy, Inc. | Pharmacy | 110 Keith St Sw Ste 1&2, Cleveland, TN 37311-5868 | 2019-05-20 |
| 1982191912 | Apn Pharmacy LLC | Pharmacy | 105 N San Jacinto Ave, Cleveland, TX 77327 | 2018-04-16 |
| 1710332085 | M.a.g Pharmacy | Pharmacy | 18325 Euclid Ave, Cleveland, OH 44112 | 2016-04-25 |
| 1871970004 | Ameriwell Beneficial Community Services | Pharmacy | 9500 Detroit Ave, Cleveland, OH 44102 | 2015-04-27 |
| 1609288976 | Crp Pharmacy LLC | Pharmacy | 10567 Saint Clair Ave, Cleveland, OH 44108-1973 | 2014-05-21 |
| 1528478328 | Cleveland Drug Co Inc | Pharmacy | 184 West Kytle Street, Suite A, Cleveland, GA 30528 | 2014-05-01 |
| 1093138299 | Signature Health Inc | Pharmacy | 1400 W 25th St, 2nd Floor, Cleveland, OH 44113-3148 | 2014-01-24 |
| 1053667204 | Emmanuel Ventures Limited LLC | Pharmacy | 4127 E 131st St, Miles Supermarket, Cleveland, OH 44105-5563 | 2012-07-25 |
| 1467738732 | Church Square Pharmacy Inc. | Pharmacy | 11201 Shaker Blvd Ste 126, Cleveland, OH 44104-3833 | 2011-10-31 |
| Find all providers in CLEVELAND | ||||
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| 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.