GEORGIA CVS PHARMACY, L.L.C. (NPI# 1154424901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154424901 |
| Entity Type | Organization |
| Organization Name | GEORGIA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #04737 |
| Practice Address |
620 W Pike St Lawrenceville GA 30045-7699 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7703391802 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-03-08 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR, 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 | 006991 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000529306B | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1138711 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #04737 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699095869 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1800 Brunswick Hwy, Waycross, GA 31501-1061 | 2010-06-10 |
| 1245550417 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 680 Ponce De Leon Ave., Atlanta, GA 30308-1808 | 2010-06-10 |
| 1861711947 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5101 Washington Rd, Evans, GA 30809-6445 | 2010-05-27 |
| 1427388453 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 965 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2130 | 2010-01-14 |
| 1518296318 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1162 West Ave., Cartersville, GA 30120-6138 | 2009-12-08 |
| 1689807018 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 7355 Roswell Rd Ne, Sandy Springs, GA 30328-1044 | 2009-09-02 |
| 1801022918 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 795 Oglethorpe Ave., Athens, GA 30606-2242 | 2009-06-03 |
| 1912131335 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 5384 Highway 20 S, Covington, GA 30016-4403 | 2009-05-13 |
| 1568605400 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3221 Peachtree Road Ne, Atlanta, GA 30305-2414 | 2009-04-08 |
| 1508004169 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1905 Martha Berry Blvd., Rome, GA 30165-1649 | 2009-02-04 |
| Street Address |
620 W PIKE ST |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-7699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| 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 |
|---|---|---|---|---|
| 1306346788 | Collaborativerx | Pharmacy | 311 Gwinnett Dr Ste 250, Lawrenceville, GA 30046-5671 | 2018-02-13 |
| 1558733444 | Totalcare Pharmacy | Pharmacy | 845 Scenic Hwy Ste 200, Lawrenceville, GA 30046-7101 | 2015-10-30 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1093035420 | Lai Drug Company Inc | Pharmacy | 470 N Clayton St Ste 101, Lawrenceville, GA 30046-4872 | 2010-06-08 |
| 1184946196 | S&k Healthcare LLC | Pharmacy | 1880 Braselton Hwy Ste 121, Lawrenceville, GA 30043-2877 | 2010-02-17 |
| 1871606301 | Penlar Pharmacy Inc | Pharmacy | 160 Lawrenceville Pennington Rd, Lawrenceville, NJ 08648-1470 | 2006-08-17 |
| 1609881226 | Szs Inc Mcgrath Pharmacy | Pharmacy | 1251 Lawrence Rd, Lawrenceville, NJ 08648-3545 | 2006-07-30 |
| 1528081718 | Clarke-smith Pharmacy Inc | Pharmacy | 227 North Main Street, Lawrenceville, VA 23868 | 2006-07-26 |
| 1518908011 | Publix Super Markets Inc | Pharmacy | 911 Duluth Hwy, Lawrenceville, GA 30043-5320 | 2006-06-08 |
| 1497386122 | Kingdom Crowns Hair Studio | Pharmacy | 316 W Pike St Ste 202g, Lawrenceville, GA 30046-4878 | 2020-01-31 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on GEORGIA CVS PHARMACY, L.L.C..
| 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.