CVS (NPI# 1174079701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174079701 |
| Entity Type | Organization |
| Organization Name | CVS |
| Practice Address |
3883 E. Foothill Blvd Pasadena CA 91107 |
| Practice Telephone | 6263510589 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | FAGHARCH KANDILIAN (PHARMACIST) |
| Authorized Official Telephone | 6263510589 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 62114 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609327568 | Cvs | Pharmacy | 7777 Bluebonnet Blvd # 100, Baton Rouge, LA 70810-1632 | 2016-10-16 |
| 1255881074 | Cvs | General Acute Care Hospital | 1512 Prospect Ave Apt D, D, San Gabriel, CA 91776-4422 | 2016-10-05 |
| 1114378577 | Cvs | Health Maintenance Organization | 11358 Cuttyhunk Ct, Cypress, CA 90630-5439 | 2016-06-28 |
| 1588037840 | Cvs | Health Maintenance Organization | 800 Canal St, New Orleans, LA 70112-2306 | 2015-11-09 |
| 1023485539 | Cvs | Clinic/Center | 6480 Old Waterloo Road, Elkridge, MD 21075 | 2015-09-01 |
| 1730562695 | Cvs | Pharmacy | 4755 W. Rosecrans Ave, Hawthorne, CA 90505-5525 | 2015-07-09 |
| 1154736064 | Cvs | Public Health or Welfare | 7004 Youree Drive, Shreveport, LA 71005 | 2014-06-30 |
| 1154740991 | Cvs | Pharmacy | 7434 W Indian School Rd, Phoenix, AZ 85033-3138 | 2014-04-09 |
| 1770880437 | Cvs | Pharmacy | 4300 Highway 49 S, Harrisburg, NC 28075-7527 | 2011-02-16 |
| 1689875817 | Cvs | Pharmacist | 105 Cherry Hl, Syracuse, NY 13214-2303 | 2007-05-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CVS | 642 W University Ave #152, Denton, TX 76209-0000 |
| Colorado Liquor Licenses | CVS / PHARMACY #10785 | 16920 Lincoln Avenue, Parker, CO 80134 |
| Massachusetts Corporations | CVS 1001 MA, L.L.C. | One Cvs Drive, Woonsocket, RI 02895 |
| Virginia Business Entities | CVS 10024 VA L.L.C. | One Cvs Dr, Woonsocket, Rhode Island 02895 |
| Oklahoma Business Registrations | CVS 10102 OK, L.L.C. | One Cvs Dr, Woonsocket, RI 02895 |
| Virginia Business Entities | CVS 10117 VA L.L.C. | One Cvs Drive, Woonsocket, Rhode Island 02895 |
| Virginia Business Entities | CVS 10170 VA L.L.C. | One Cvs Dr, Woonsocket, Rhode Island 02895 |
| Oklahoma Business Registrations | CVS 10175 OK, L.L.C. | 1209 Orange St, Wilmington, DE 19801 |
| Massachusetts Corporations | CVS 10196 MA, LLC | 1 Cvs Dr., Woonsocket, RI 02895 |
| Oklahoma Business Registrations | CVS 10213 OK, L.L.C. | 1209 Orange St, Wilmington, DE 19801 |
| Street Address |
3883 E. FOOTHILL BLVD |
| City | PASADENA |
| State | CA |
| Zip Code | 91107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205386422 | Howard Yeh | Pharmacist | 3883 E. Foothill Blvd, Pasadena, CA 91107 | 2016-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| 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 |
|---|---|---|---|---|
| 1891244430 | Precisionmeds Services Inc. | Pharmacy | 638 E Colorado Blvd, Suite 202, Pasadena, CA 91101-2006 | 2016-09-23 |
| 1447653787 | Community Health Alliance of Pasadena | Pharmacy | 1855 N Fair Oaks Ave Ste 100, Pasadena, CA 91103-1620 | 2014-10-01 |
| 1104166552 | Riviera Drugs LLC | Pharmacy | 8541 Fort Smallwood Rd, Unit G, Pasadena, MD 21122-2676 | 2013-02-21 |
| 1679863575 | Burke Family Pharmacy Inc | Pharmacy | 722 Fairmont Pkwy, Pasadena, TX 77504-2804 | 2011-04-12 |
| 1023328374 | O&w Interests LLC | Pharmacy | 3954 Spencer Hwy, Pasadena, TX 77504-1206 | 2010-10-19 |
| 1386717817 | Kroger Texas L P | Pharmacy | 3550 Spencer Hwy, Pasadena, TX 77504-1110 | 2006-11-15 |
| 1285707711 | Kroger Texas L P | Pharmacy | 2619 Red Bluff Rd, Pasadena, TX 77506-5270 | 2006-11-15 |
| 1336230010 | Diran B.bahadourian | Pharmacy | 1864 E Washington Blvd, Suite #105, Pasadena, CA 91104-1647 | 2006-09-27 |
| 1831299874 | 986 Specialty Pharmacy Pasadena Inc | Pharmacy | 1719 E. Walnut St., Pasadena, CA 91106-1611 | 2006-09-22 |
| 1609981638 | Pasadena City Pharmacy | Pharmacy | 1684 E Washington Blvd, Pasadena, CA 91104-2757 | 2006-08-20 |
| Find all providers in PASADENA | ||||
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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.