PENNSYLVANIA CVS PAHRMACY, L.L.C. (NPI# 1124126735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124126735 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA CVS PAHRMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #01914 |
| Practice Address |
1760 Quention Rd Cedar Crest Square Lebanon PA 17042 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7172737824 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-09-12 |
| Authorized Official Name | SUSAN COLBERT (DIR PHCY ENROLLMENTS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PP414171L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3965780 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #01914 | Doing Business As Name - Organization |
| Street Address |
1760 QUENTION RD CEDAR CREST SQUARE |
| City | LEBANON |
| State | PA |
| Zip Code | 17042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| 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 |
|---|---|---|---|---|
| 1699275503 | Mary Hitchcock Memorial Hospital | Pharmacy | 12 Centerra Pkwy, Lebanon, NH 03766-1411 | 2018-02-16 |
| 1902298557 | Witham Memorial Hospital | Pharmacy | 2705 N Lebanon St Ste 100, Lebanon, IN 46052-8621 | 2015-02-19 |
| 1306917323 | Buckeye Drugs Inc. | Pharmacy | 315 North Cumberland Street, Lebanon, TN 37087 | 2006-11-13 |
| 1538186713 | Wal-mart Stores East Lp | Pharmacy | 1530 Walmart Dr, Lebanon, OH 45036-7342 | 2006-07-16 |
| 1922032804 | Weis Markets Inc | Pharmacy | 800 N 12th St, Lebanon, PA 17042 | 2006-07-10 |
| 1912930249 | Weis Markets Inc | Pharmacy | 1651 E Cumberland St, Lebanon, PA 17042-8324 | 2006-07-09 |
| 1477534709 | Street Drug Corporation | Pharmacy | 110 W Main St, Lebanon, VA 24266-4214 | 2005-11-14 |
| 1891798336 | Francis W Southall Jr | Pharmacy | 325 W Walnut St, Ste 500, Lebanon, KY 40033 | 2005-05-28 |
| 1710404264 | Mercy Pharmacy Services, LLC | Pharmacy | 200 Hospital Dr, Lebanon, MO 65536-9215 | 2017-08-25 |
| 1083099790 | Bryan's Family Pharmacy Inc | Pharmacy | 975b Kingsview Dr, Lebanon, OH 45036-9562 | 2015-07-23 |
| Find all providers in LEBANON | ||||
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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.