PUERTO RICO CVS PHARMACY, L.L.C. (NPI# 1467789552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467789552 |
| Entity Type | Organization |
| Organization Name | PUERTO RICO CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY #07979 |
| Practice Address |
105 Gilberto Concepcion De Gracia San Juan PR 00901-2712 |
| Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 7877252500 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2016-06-27 |
| Authorized Official Name | MRS. 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 | 12-F-2790 | PR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP - OTHER COMMERCIAL IDENTIFIER | 4027048 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #07979 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841505831 | Puerto Rico Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6109 Carr 694, Vega Alta, PR 00692 | 2010-08-13 |
| 1831421619 | Puerto Rico Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | Calle Marginal # 600, Urb Flamboyan Gardens, Bayamon, PR 00956 | 2010-02-04 |
| 1477882496 | Puerto Rico Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4880 Carr 167, Bayamon, PR 00956-9875 | 2009-12-22 |
| 1831428853 | Puerto Rico Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 9 Calle Igualdad, Fajardo, PR 00738 | 2009-12-22 |
| 1932438959 | Puerto Rico Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | Carr. Pr-2 Km.77.6, Arecibo, PR 00612 | 2009-12-22 |
| 1649507732 | Puerto Rico Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2114 Carr 2, Bayamon, PR 00961-4849 | 2009-11-10 |
| Street Address |
105 GILBERTO CONCEPCION DE GRACIA |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00901-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801326541 | Edelmiro Rodriguez | Pharmacist | 105 Gilberto Concepcion De Gracia, Cvs Health, San Juan, PR 00907 | 2017-06-15 |
| 1114457785 | Deemarys N Soto-hernandez | Pharmacist | 105 Gilberto Concepcion De Gracia, San Juan, PR 00901 | 2017-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704006 | Gisela Maria Garcia-ortiz | Speech-Language Pathologist | Universidad Carlos Albizu, 151 Calle Tanca, San Juan, PR 00901 | 2020-09-14 |
| 1689222309 | Zen Spa Hospitality LLC | Clinic/Center | 1 Calle San Geronimo, San Juan, PR 00901 | 2019-08-27 |
| 1063075265 | Santos Rene Ortiz Comas | Student in an Organized Health Care Education/Training Program | E1 La Puntilla Apt 69, San Juan, PR 00901 | 2019-04-15 |
| 1760981559 | Lesbia Hernandez | Pharmacist | Harbor Plaza Apt 702, 105 Paseo Concepcion De Gracia, San Juan, PR 00901 | 2018-02-07 |
| 1902321946 | Arminda Rosa Miranda | Psychologist | 450 De La Constitucion Ave, Apt. 6-d, San Juan, PR 00901 | 2017-08-10 |
| 1821531997 | Jose Maldonado | Clinical Nurse Specialist | 258 San Justo, Viejo San Juan, PUERTO RICO 00901 | 2016-11-22 |
| 1992153126 | Joan L Rodriguez | Technician, Other | 100 Fernandez Juncos, 312 Capitolio Plaza, San Juan, PR 00901 | 2016-05-27 |
| 1922462498 | Walgreen Co | Pharmacy | 100 Calle Brumbaugh, Viejo San Juan Hotel Sheraton Old Sanjuan, San Juan, PR 00901 | 2016-04-11 |
| 1174999569 | Vida Integral Centro Quiropractico | Chiropractor | 252 Calle San Jose, Ste 2a, San Juan, PR 00901 | 2015-08-19 |
| 1679907372 | Yvonne M Rodriguez-blasini | Audiologist | Street Del Muelle, Condominio Capitolio Plaza, Apt. 2307, San Juan, PR 00901 | 2013-08-29 |
| Find all providers in zip 00901 | ||||
| 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 |
|---|---|---|---|---|
| 1184146219 | Pueblo Inc | Pharmacy | 652 Ave Munoz Rivera Ste 200, San Juan, PR 00918-4257 | 2017-07-11 |
| 1801337605 | Rm Supermarket San Patricio Inc | Pharmacy | Central Plaza Shopping Center Suite #1, San Juan, PR 00920 | 2017-03-13 |
| 1962946426 | Centro Ararat Inc | Pharmacy | 1507 Calle Prof Augusto Rodrigue, San Juan, PR 00909-2214 | 2016-12-18 |
| 1285005561 | Central Drug Dorado Corp | Pharmacy | Carretera # 1 Km 25.5 Interior Camino Los Navarro, Bo Quebrada Arena, San Juan, PR 00926 | 2015-10-13 |
| 1699177261 | Damar of Puerto Rico Services Inc | Pharmacy | Esq. Barbosa #404, Calle Sicilia, San Juan, PR 00907 | 2014-09-25 |
| 1215339379 | Central Plus Inc | Pharmacy | 1304c Ave Jesus T Pinero, San Juan, PR 00921-1508 | 2014-09-20 |
| 1437559002 | Central Plus Inc. | Pharmacy | 911 Calle Rafael Mercado, Villa Navarra, San Juan, PR 00924-2811 | 2014-09-02 |
| 1306192828 | Pro Health Pharmacy, Inc. | Pharmacy | #312 32nd St, Urbanizacion Villa Nevarez, San Juan, PR 00927 | 2012-08-02 |
| 1063789600 | Pharmacare, Inc. | Pharmacy | 300 Calle Tapia, Esq Gilberto Monroig, San Juan, PR 00912-4219 | 2011-11-28 |
| 1487956082 | Physician Management Corporation of America | Pharmacy | 282 Pinero Ave., Suite 200c, San Juan, PR 00921 | 2010-12-02 |
| Find all providers in SAN JUAN | ||||
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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.