OHIO CVS STORES LLC (NPI# 1124575865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124575865 |
| Entity Type | Organization |
| Organization Name | OHIO CVS STORES LLC |
| Practice Address |
210 E Emmitt Ave Waverly OH 45690-1336 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7409472126 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2017-12-05 |
| Authorized Official Name | SUSAN COLBERT (SR. DR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | NCPDP | 3684582 | 01 |
| OH | 0191461 | 05 |
| 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 |
| 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 |
| 1124256045 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 641 Graham Rd, Cuyahoga Falls, OH 44221-1048 | 2009-06-30 |
| Street Address |
210 E EMMITT AVE |
| City | WAVERLY |
| State | OH |
| Zip Code | 45690-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767181 | Brandie Mustard | Homemaker | 3018 My Tabor Rd, Waverly, OH 45690 | 2020-10-15 |
| 1225661168 | Kyle Colley | Counselor | 14574 Us Hughway 23, Waverly, OH 45690 | 2020-02-19 |
| 1366082513 | Ryan Rawlins | Counselor | 14574 St. Rt. 23, Waverly, OH 45690 | 2020-01-15 |
| 1700424140 | Jaime Wooldridge | Counselor | 14532 St. Rt. 23, Waverly, OH 45690 | 2019-12-17 |
| 1518513415 | Jacquelyn Irene Sprouse | Counselor | 217 Emmitt Ave, Waverly, OH 45690 | 2019-08-15 |
| 1639634850 | Krista K Leeth | Counselor | 14532 Us Hwy 23, 14534 Us Hwy 23, Waverly, OH 45690 | 2019-02-01 |
| 1881196244 | Kevin Michael Reichert | Counselor | Pike County Recovery Council, 218 East North Street, Waverly, OH 45690 | 2018-03-01 |
| 1619483179 | Ticia Lewis | Counselor | 14532 State Route 23, Waverly, OH 45690 | 2017-12-20 |
| 1205342136 | Criston B Evans | Licensed Practical Nurse | 14532 Us Highway 23, Waverly, OH 45690 | 2017-12-14 |
| 1447763313 | Jody Ryan Colley | Counselor | 14572 St. Rt. 23, Waverly, OH 45690 | 2017-11-14 |
| Find all providers in zip 45690 | ||||
| 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 |
|---|---|---|---|---|
| 1396756953 | Bartleys Discount Pharmacy Inc | Pharmacy | 302 E Emmitt Ave, Waverly, OH 45690-1338 | 2006-08-10 |
| 1982619813 | Fruth Pharmacy of Ohio Inc | Pharmacy | 101 James Rd, Waverly, OH 45690-1017 | 2006-07-29 |
| 1982636916 | Freds Stores of Tennessee Inc | Pharmacy | 515 W Main St Ste A, Waverly, TN 37185-1406 | 2006-07-07 |
| 1639111412 | Crystal City Apothecary LLC | Pharmacy | 443 Cayuta Ave, Waverly, NY 14892-1506 | 2006-06-13 |
| 1801386339 | Spring Branch Rx LLC | Pharmacy | 328 W Main St, Waverly, VA 23890-3235 | 2018-05-10 |
| 1942690698 | Adena Pharmacy LLC | Pharmacy | 100 Dawn Ln, Waverly, OH 45690-9138 | 2015-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114013 | North Linden Pharmacy | Pharmacy | 1000 Georgesville Rd Ste B, Columbus, OH 43228-3304 | 2020-11-05 |
| 1477150951 | Genesis Healthcare System | Pharmacy | 945 Bethesda Dr Ste 20, Zanesville, OH 43701-0801 | 2020-10-07 |
| 1700493517 | Health Springs Rx LLC | Pharmacy | 9474 Springboro Pike, Miamisburg, OH 45342-4426 | 2020-09-25 |
| 1154939304 | University Hospitals Home Care Services Inc | Pharmacy | 24865b Emery Rd, Attn: Allene Naples, Warrensville Heights, OH 44128-5636 | 2020-07-14 |
| 1285257451 | Signal Hill Solutions, Inc. | Pharmacy | 5718 Signal Hill Ct Ste B, Milford, OH 45150-1452 | 2020-05-22 |
| 1912527979 | Wellness 1 Pharmacy- Mason | Pharmacy | 6681 Western Row Rd, Mason, OH 45040-1305 | 2020-04-20 |
| 1972122927 | Matrix Rx LLC | Pharmacy | 3775b Trueman Ct, Hilliard, OH 43026-2496 | 2020-04-09 |
| 1770112526 | Hebron Rx Care LLC | Pharmacy | 96-d Integrity Dr, Hebron, OH 43025 | 2020-04-03 |
| 1740816453 | Mahavir Swami LLC | Pharmacy | 540 N Center St, Lagrange, OH 44050-9749 | 2020-03-14 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
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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.