CVS PHARMACY, INC.


Address: 55 Dimock St, Roxbury, MA 02119-1029
Phone: 6179891022

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).

Provider Overview

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.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
MA0057718 MA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
DEA FD1285558 01

Other Provider/Organization Names

Other Name Type Code
CVS Pharmacy #11301 Doing Business As Name - Organization
The Dimock Center Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 55 DIMOCK ST
City ROXBURY
State MA
Zip Code 02119-1029

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City ROXBURY
Zip Code 02119

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Dataset Information

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.

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