NEW JERSEY CVS PHARMACY LLC (NPI# 1356669642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356669642 |
| Entity Type | Organization |
| Organization Name | NEW JERSEY CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY 04125 |
| Practice Address |
1501 Bayshore Rd Villas NJ 08251-2302 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 6098861166 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-11-10 |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0246867 | 05 | |
| NCPDP | 3196931 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy 04125 | 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 |
1501 BAYSHORE RD |
| City | VILLAS |
| State | NJ |
| Zip Code | 08251-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124587134 | Optimal Behavioral Health, LLC | Clinic/Center | 889 Bayshore Road, Villas, NJ 08251 | 2019-03-19 |
| 1275984502 | Nicole Sagan Farrell | Counselor | 899 Bayshore Road, Families Matter LLC, Villas, NJ 08251 | 2016-06-28 |
| 1922101013 | Patti C Fellows | Nurse Practitioner | 425 Fern Rd, Villas, NJ 08251 | 2006-09-06 |
| 1659328987 | Aloysius Chukwumuche Onwuka | Internal Medicine | 1740 Bayshore Road, Villas, NJ 08251 | 2006-05-30 |
| 1427054345 | Lower Township Rescue Squad | Non-emergency Medical Transport (VAN) | 101 Georgia and Main St, Villas, NJ 08251 | 2005-06-24 |
| 1508882051 | Shore Atlantic Geriatrics LLC | Internal Medicine | 1740 Bayshore Road, Villas, NJ 08251 | 2006-07-15 |
| 1376679894 | Coogan Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 14 Oak Ave, Villas, NJ 08251-0004 | 2007-02-26 |
| 1801006663 | Mary Lou Fricke-neal | Physical Therapist | 314 Shadeland Ave, Villas, NJ 08251-1249 | 2007-05-23 |
| 1235355256 | Linda Louise Kampmeier | Nursing Care | 14 Redwood Ave, Villas, NJ 08251-1475 | 2007-04-18 |
| 1548576218 | Francienna Grant | Physical Therapist | 2006 Bayshore Rd, Villas, NJ 08251-1815 | 2010-08-19 |
| Find all providers in zip 08251 | ||||
| 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.