GEORGIA CVS PHARMACY, L.L.C. (NPI# 1205034204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205034204 |
| Entity Type | Organization |
| Organization Name | GEORGIA CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 06369 |
| Practice Address |
5690 Ogeechee Rd Savannah GA 31405 |
| Mailing Address |
1 Cvs Dr Box 1075-pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 9122345575 |
| Practice Fax Number | 4017707108 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2012-03-07 |
| Authorized Official Name | SUSAN 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NCPDP | 1155868 | 01 |
| GA | 978993704A | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 06369 | 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 |
5690 OGEECHEE RD |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043364425 | Tracy Gayle Porter | Nurse Practitioner | 5690 Ogeechee Rd, Savannah, GA 31405-9500 | 2007-01-22 |
| 1760842918 | Megan P. Murphree | Nurse Practitioner | 5690 Ogeechee Rd, Savannah, GA 31405-9500 | 2016-03-01 |
| 1184006462 | Stephanie Renee Denmark | Nurse Practitioner | 5690 Ogeechee Rd, Savannah, GA 31405-9500 | 2015-06-23 |
| 1245656321 | Alania Greene | Nurse Practitioner | 5690 Ogeechee Rd, Savannah, GA 31405-9500 | 2014-03-12 |
| 1972934198 | Keilah Devon Dawson Jones | Nurse Practitioner | 5690 Ogeechee Rd, Savannah, GA 31405-9500 | 2013-12-13 |
| 1881945681 | Ashleigh Strickland Russell | Nurse Practitioner | 5690 Ogeechee Rd, Savannah, GA 31405-9500 | 2012-09-20 |
| 1316211212 | Rachel Cowan Stubbs | Nurse Practitioner | 5690 Ogeechee Rd, Savannah, GA 31405-9500 | 2012-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| 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 |
|---|---|---|---|---|
| 1700419454 | Janus Rx | Pharmacy | 836 E 65th St Ste 42, Savannah, GA 31405-4496 | 2020-02-20 |
| 1144674193 | Pavan Putra Pharmacy Inc | Pharmacy | 418 W Broughton St, Savannah, GA 31401-3218 | 2016-04-15 |
| 1962873521 | Wal-mart Stores East Lp | Pharmacy | 10530 Abercorn St, Savannah, GA 31419-1140 | 2015-10-08 |
| 1487952453 | Infuscience South Carolina LLC | Pharmacy | 7001 Chatham Center Dr, Suite 2000, Savannah, GA 31405-1342 | 2011-03-01 |
| 1942325402 | Summit Cancer Care PC | Pharmacy | 836 E 65th St Ste 4, Savannah, GA 31405-4491 | 2007-03-20 |
| 1508994260 | Robert Higginbottom | Pharmacy | 765 Florence Rd Ste B, Savannah, TN 38372-5219 | 2007-03-02 |
| 1033224068 | Georgetown Drug, LLC | Pharmacy | 1080 King George Blvd, Savannah, GA 31419-9569 | 2006-08-20 |
| 1548374432 | Family Discount Phy and Wellness Ctr | Pharmacy | 985 Wayne Rd Apt B, Savannah, TN 38372-2325 | 2006-08-18 |
| 1326070350 | Freds Stores of Tennessee Inc | Pharmacy | 1240 Florence Rd, Savannah, TN 38372-3418 | 2006-07-07 |
| 1912483611 | Greeson Rx | Pharmacy | 824 E Derenne Ave, Savannah, GA 31405-6717 | 2018-07-16 |
| Find all providers in SAVANNAH | ||||
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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.