CVS PHARMACY, INC. (NPI# 1487894291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487894291 |
Entity Type | Organization |
Organization Name | CVS PHARMACY, INC. |
Other Organization Name | CVS PHARMACY #11301 |
Practice Address |
55 Dimock St Roxbury MA 02119-1029 |
Mailing Address |
1 Cvs Drive Box 1075 Woonsocket RI 02895-6146 |
Practice Telephone | 6179891022 |
Practice Fax Number | 6174279805 |
Mailing Telephone | 4017651500 |
Mailing Fax Number | 6174279805 |
Enumeration Date | 2009-03-06 |
Last Update Date | 2019-07-17 |
Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
Authorized Official Telephone | 4017702751 |
Is Organization Subpart | Y |
Parent Organization Name | DIMOCK COMMUNITY FOUNDATION, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
MA0057718 | MA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DEA | FD1285558 | 01 |
Other Name | Type Code |
---|---|
CVS Pharmacy #11301 | Doing Business As Name - Organization |
The Dimock Center Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
1083225528 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 110 E. Richey Rd, Houston, TX 77090-5802 | 2020-08-10 |
1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
1730676461 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 8041 N Mesa St # A, El Paso, TX 79932 | 2018-04-18 |
1053826594 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 4165 Washington St, Roslindale, MA 02131-1718 | 2017-12-06 |
1710335351 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 4489 County Road 94, Manvel, TX 77578 | 2016-05-24 |
1043666407 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1555 East Renner Rd, Richardson, TX 75082-3074 | 2016-05-04 |
1104281914 | Cvs Pharmacy, Inc. | Pharmacy | 10515 Fry Rd, Cypress, TX 77433 | 2015-12-21 |
1588029458 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 7220 Blue Mound Rd, Fort Worth, TX 76131-4802 | 2015-12-21 |
1558677740 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1484 Ruben Torres Blvd, Brownsville, TX 78521-1537 | 2010-08-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | CVS PHARMACY, INC. | 1 Cvs Drive, Woonsocket, RI 02895 |
Iowa Business Entities | CVS PHARMACY, INC. | One Cvs Dr, Woonsocket, RI 02895 |
Massachusetts Corporations | CVS PHARMACY, INC. | One Cvs Drive, Woonsocket, RI 02895 |
Washington State Corporations | CVS PHARMACY, INC. | 1 Cvs Dr # 1160, Woonsocket, RI 02895-6146 |
Colorado Business Entities | CVS Pharmacy, Inc. | 1 Cvs Drive, Mc 1160, Woonsocket, RI 02895 |
Connecticut Business Registrations | CVS PHARMACY, INC. | One Cvs Drive, Woonsocket, RI 02895 |
New York State Corporations | CVS PHARMACY, INC. | 28 Liberty St., New York, Ny 10005 |
Street Address |
55 DIMOCK ST |
City | ROXBURY |
State | MA |
Zip Code | 02119-1029 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831197896 | Kelly Flynn | Obstetrics & Gynecology | 55 Dimock St, Roxbury, MA 02119-1029 | 2005-07-13 |
1114574019 | Mary Rose Maiullari | Pharmacist | 55 Dimock St, Roxbury, MA 02119-1029 | 2019-08-25 |
1508421033 | Zachary Biedermann | Developmental Therapist | 55 Dimock St, Roxbury, MA 02119-1029 | 2019-05-09 |
1851858401 | Yvelande Boursiquot | Social Worker | 55 Dimock St, Roxbury, MA 02119-1029 | 2019-03-01 |
1790268837 | Danielle Sharon Ederi | Counselor | 55 Dimock St, Roxbury, MA 02119-1029 | 2018-09-14 |
1225527914 | Jevae Nelson | Dentist | 55 Dimock St, Roxbury, MA 02119-1029 | 2018-05-08 |
1760996821 | Rachel Shotkin | Social Worker | 55 Dimock St, Roxbury, MA 02119-1029 | 2017-11-28 |
1568981421 | Marzieh Bonakdarhashemi | Counselor | 55 Dimock St, Roxbury, MA 02119-1029 | 2017-09-12 |
1225554140 | Stacy Lin Longo | Pharmacist | 55 Dimock St, Roxbury, MA 02119-1029 | 2017-08-22 |
1639624703 | Cindy Stafford | Counselor | 55 Dimock St, Roxbury, MA 02119-1029 | 2016-08-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
Find all providers in zip 02119 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
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: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053776211 | The Hospital Corporation | Pharmacy | 55 Fruit St # Gb005, Ma General Hosptital, Boston, MA 02114-2621 | 2015-12-15 |
1487806725 | East Boston Neighborhood Health Center, Inc | Pharmacy | 26 Sturgis St, Winthrop, MA 02152-1219 | 2008-10-17 |
1235292863 | Ppf Inc | Pharmacy | 499 Eastern Ave, Lynn, MA 01902-1570 | 2006-12-18 |
1326155458 | The Commonwealth of Massachusetts | Pharmacy | 165 Quincy St, Brockton, MA 02302-2988 | 2006-08-24 |
1689144982 | Brigham & Womens Hospital, Inc. | Pharmacy | 45 Francis St, Boston, MA 02115-6105 | 2018-11-29 |
1144743410 | Community Health Center of Cape Cod, Inc. | Pharmacy | 123 Waterhouse Rd, Bourne, MA 02532-3890 | 2017-07-19 |
1164860540 | Atrius Health Inc. Dba Harvard Vanguard Medical Associates | Pharmacy | 330 Baker Ave, Concord, MA 01742-2188 | 2013-06-07 |
1497198303 | Steward St. Anne's Hospital Corp. Reginal Cancer Center | Pharmacy | 537 Faunce Corner Rd, North Dartmouth, MA 02747-1242 | 2013-04-10 |
1295068559 | Charles River Community Health, Inc | Pharmacy | 495 Western Ave, Brighton, MA 02135-1007 | 2009-09-17 |
1104085232 | Walgreen Co | Pharmacy | 35 Central St, Leominster, MA 01453-5716 | 2008-06-04 |
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.