NEW JERSEY CVS PHARMACY LLC (NPI# 1285726901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285726901 |
| Entity Type | Organization |
| Organization Name | NEW JERSEY CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY 01165 |
| Practice Address |
1098 Mantua Pike Wenonah NJ 08090-1124 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8564641077 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2018-09-24 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR) |
| 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 | RS04359 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3131365 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 01165 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125684 | New Jersey Cvs Pharmacy LLC | Pharmacy | 1570 Route 38, Lumberton, NJ 08048-2932 | 2019-10-11 |
| 1952959272 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2311 Route 206, Suite 600, Belle Mead, NJ 08502 | 2019-08-29 |
| 1821652611 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1200 Highway 35, Middletown, NJ 07748-2013 | 2019-04-26 |
| 1083183594 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 30 Belvidere Ave, Washington, NJ 07882-1415 | 2018-11-14 |
| 1568912558 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 457 Route 46, Rockaway, NJ 07866 | 2016-10-13 |
| 1336699321 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 29 Vervalen St, Closter, NJ 07624 | 2016-10-13 |
| 1821545435 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3503 Route 46, Parsippany, NJ 07054 | 2016-09-01 |
| 1841662103 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1801 State Route 71, Wall, NJ 07719-3227 | 2015-10-27 |
| 1720459936 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4251 U.S. Hwy 9, Howell, NJ 07731-3379 | 2015-10-14 |
| 1336519149 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Atlantic City Blvd, Beachwood, NJ 08722-2800 | 2015-10-06 |
| Street Address |
1098 MANTUA PIKE |
| City | WENONAH |
| State | NJ |
| Zip Code | 08090-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841782455 | Melissa Margarita Collins | Nurse Practitioner | 1050 Mantua Pike Fl 1, Wenonah, NJ 08090 | 2018-05-31 |
| 1821473596 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 N. Clinton Avenue, Wenonah, NJ 08090 | 2015-07-23 |
| 1265697429 | Dana Lynn Biermann Flynn | Pediatrics | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090 | 2008-07-26 |
| 1861560336 | Tamika Lillian Jones | Pediatrics | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090 | 2006-12-01 |
| 1962650457 | West Deptford Animal Hospital | Veterinarian | 1044 Mantua Pike, Rt 45, Wenonah, NJ 08090-1124 | 2008-09-09 |
| 1306496013 | April Digiannantonio | Social Worker | 607 Vassar Rd, Wenonah, NJ 08090-1136 | 2019-09-14 |
| 1205912144 | Benjamin George Piantedosi | Pediatrics | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090-1141 | 2006-10-31 |
| 1639649981 | Brandon Francis Tunstall | Nurse Practitioner | 1050 Mantua Pike, Wenonah, NJ 08090-1141 | 2018-11-29 |
| 1235670811 | Woodbury Dental Associates Pa | Dentist | 1050 Mantua Pike, Wenonah, NJ 08090-1141 | 2017-03-15 |
| 1467707448 | Robin Keisha Lynch-varela | Nurse Practitioner | 1050 Mantua Pike, Suite 200, Wenonah, NJ 08090-1141 | 2012-07-17 |
| Find all providers in zip 08090 | ||||
| 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] |
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| 1043828577 | Siddhivinayak Inc. | Pharmacy | 90 Bergen St # 1600, Newark, NJ 07103-2425 | 2020-07-21 |
| 1891303616 | Amwell Pharmacy Inc. | Pharmacy | 438 Route 206 Ste 3, Hillsborough, NJ 08844-5525 | 2020-07-17 |
| 1366066235 | Brx LLC | Pharmacy | 250 Chambers Bridge Rd, Brick, NJ 08723 | 2020-06-05 |
| 1982237103 | Holmdel Pharmacy and Deli LLC | Pharmacy | 487 Middle Rd, Hazlet, NJ 07730-2426 | 2020-02-17 |
| 1184254575 | Frrx LLC | Pharmacy | 76 W Gilbert St, Tinton Falls, NJ 07701-4918 | 2020-01-24 |
| 1841820388 | Ewing Pharmacy LLC | Pharmacy | 1400 Parkway Ave Ste A2, Ewing, NJ 08628-3021 | 2020-01-23 |
| 1982240735 | Elite Rx LLC | Pharmacy | 2282 Hamburg Tpke Ste E, Wayne, NJ 07470-6291 | 2019-11-26 |
| 1629626163 | Meadowlands Pharmacy LLC | Pharmacy | 40, Meadowlands Pkway, Secaucus, NJ 07094 | 2019-08-28 |
| 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.