PENNSYLVANIA CVS PHARMACY LLC (NPI# 1205274073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205274073 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 10045 |
| Practice Address |
2239 Perkiomen Ave Reading PA 19606-1829 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6107797939 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-12-13 |
| Authorized Official Name | SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| 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 |
|---|---|---|---|
| NCPDP | 3999337 | 01 | |
| PA | 1015538870417 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 10045 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104356971 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 339 E Lancaster Ave, Wynnewood, PA 19096-1920 | 2017-06-14 |
| 1376077545 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2400 Butler Pike, Plymouth Meeting, PA 19462 | 2017-04-14 |
| 1578094751 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 Sumneytown Pike, Spring House, PA 19477 | 2017-03-21 |
| 1750832465 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 501 N 22nd St, Philadelphia, PA 19130-3507 | 2016-10-18 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1144774795 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4664 Browns Hill Road, Pittsburgh, PA 15217 | 2016-08-12 |
| 1588030001 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1678 Susquehanna Rd, Dresher, PA 19025 | 2015-08-19 |
| 1114393063 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 259 Market St, Philadelphia, PA 19106-4502 | 2015-08-14 |
| 1467835546 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1650 Menoher Blvd, Johnstown, PA 15905-2000 | 2015-07-07 |
| 1548641178 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1040 W Chester Pike, West Chester, PA 19382-5003 | 2015-06-09 |
| Street Address |
2239 PERKIOMEN AVE |
| City | READING |
| State | PA |
| Zip Code | 19606-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699293977 | Vitalia Lopez | Licensed Practical Nurse | 1064 Fox Run, Reading, PA 19606 | 2017-09-06 |
| 1033665815 | Tyler Black | Pharmacist | 320 Parkview Ave, Reading, PA 19606 | 2016-08-31 |
| 1003285214 | Brittany Stankovic | Speech-Language Pathologist | 208 Lincoln Drive, Reading, PA 19606 | 2015-09-17 |
| 1225431190 | Theodore Wallace Jr. | Behavioral Analyst | 66 Rockhaven Court, Reading, PA 19606 | 2014-10-06 |
| 1326314790 | Megan Ann Guzowski | Occupational Therapy Assistant | 5501 Perkiomen Avenue, Reading, PA 19606 | 2012-03-29 |
| 1720241367 | Jose A Ruiz Martinez | Pharmacist | 23 Pickwick Pl, Exeter, PA 19606 | 2008-07-03 |
| 1194925263 | Jon M Kanegawa | Dentist | 4462 Boyertown Pike, Reading, PA 19606 | 2007-07-18 |
| 1780722298 | Randal Cory Reinecker | Dentist | 5 Hearthstone Court, Suite 102, Reading, PA 19606 | 2007-02-05 |
| 1003953423 | James C Petras | Dentist | 2951 St Lawrence Ave, Reading, PA 19606 | 2007-02-01 |
| 1639234966 | Glenn D Ruoss | Dentist | 17 North 23rd St, Mt Penn, PA 19606 | 2006-12-27 |
| Find all providers in zip 19606 | ||||
| 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 |
|---|---|---|---|---|
| 1811506561 | Temple Community Pharmacy | Pharmacy | 3535 N 5th Street Hwy Ste 2, Reading, PA 19605-1703 | 2020-07-29 |
| 1386269033 | San Juan Pharmacy LLC | Pharmacy | 200 W Buttonwood St, Reading, PA 19601-2603 | 2020-06-09 |
| 1326683707 | Vista Pharmacy LLC | Pharmacy | 938 N 8th St, Reading, PA 19604-2308 | 2019-11-09 |
| 1962924944 | Total Health Care Consultants LLC | Pharmacy | 2431 Morgantown Rd, Reading, PA 19607-9630 | 2017-07-12 |
| 1609324086 | Pramukh Pharmacy LLC | Pharmacy | 810 Oley St Ste G2, Reading, PA 19604-2546 | 2016-09-14 |
| 1043389992 | Le Petite Pharmacie Inc | Pharmacy | 806 Penn St, Reading, PA 19602-1108 | 2006-11-07 |
| 1215049226 | Bortzs Pharmacies Inc | Pharmacy | 90 Gibraltar Rd, Reading, PA 19606-9460 | 2006-08-31 |
| 1780796797 | Andrew P. Naglak | Pharmacy | 1170 Perkiomen Ave, Reading, PA 19602-1349 | 2006-08-31 |
| 1033142369 | Weis Markets Inc | Pharmacy | 2020 N 13th St, Reading, PA 19604-1210 | 2006-07-09 |
| 1487686499 | Giant Food Stores LLC | Pharmacy | 4655 Perkiomen Ave, Reading, PA 19606-3217 | 2006-07-07 |
| Find all providers in READING | ||||
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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.