PUERTO RICO CVS PHARMACY, L.L.C. (NPI# 1649507732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649507732 |
| Entity Type | Organization |
| Organization Name | PUERTO RICO CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 04594 |
| Practice Address |
2114 Carr 2 Bayamon PR 00961-4849 |
| Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 7877402850 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2019-04-03 |
| Authorized Official Name | MRS. SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| 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 | 12-F-2791 | PR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP - OTHER COMMERCIAL IDENTIFIER | 4027036 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 04594 | 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 |
| 1467789552 | Puerto Rico Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 105 Gilberto Concepcion De Gracia, San Juan, PR 00901-2712 | 2009-11-10 |
| Street Address |
2114 CARR 2 |
| City | BAYAMON |
| State | PR |
| Zip Code | 00961-4849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929206 | Raul Alexis Ocasio Gonzalez | Physician Assistant | Urb, Santa Cruz, B7 Calle Santa Cruz, Bayamon, PR 00961 | 2020-10-12 |
| 1073128047 | Bianca Paola Vega | Psychologist | 73 Sabra Cruz Street Suit 405, Bayamon, PR 00961 | 2020-09-15 |
| 1457960940 | Lymari Barnecet | Physician Assistant | Calle Isabel II Suite 107, Edificio Joaquin Montesino, Bayamon, PR 00961 | 2020-07-30 |
| 1104443027 | Sheila Grisel Alicea | Psychologist | Condominio Alborada Apt 1132, Bayamon, PR 00961 | 2020-06-26 |
| 1407471477 | Noemi Burgos | Psychologist | Calle 2 Km 11.8 Edificio Centurion Piso 3, Bayamon, PR 00961 | 2020-06-15 |
| 1740802362 | Carlos Alexis Sepulveda | Social Worker | C-17 Calle Marginal, Santa Cruz, Bayamon, PR 00961 | 2020-05-18 |
| 1245859669 | Angelisse Julianna Rivera Gonzalez | Pharmacist | Ave. Munoz Rivera #425-ng, San Juan, PR 00961 | 2020-04-15 |
| 1003445750 | Miranda Kay Berger Nordelo | Student in an Organized Health Care Education/Training Program | 58-3 Calle 50, Urb Sierra Bayamon, Bayamon, PR 00961 | 2020-04-05 |
| 1215562558 | Gabriela Isabel Oquendo-claudio | Student in an Organized Health Care Education/Training Program | Urb Rio Hondo 1 Rio Caguitas M14, Bayamon, PR 00961 | 2020-03-06 |
| 1265063754 | Iris Angelica Gonzalez Rosa | Psychologist | Ave. West Main, #26, Blq. 48 #22, Sierra Bayamon, Bayamon, PR 00961 | 2020-02-03 |
| Find all providers in zip 00961 | ||||
| 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 |
|---|---|---|---|---|
| 1346864055 | Alma Iris Berrios | Pharmacy | Bo. Hato Tejas, Carr.862 K.m. 1.9, Bayamon, PR 00959 | 2020-05-29 |
| 1760829899 | Farmacia Asturias LLC | Pharmacy | Ave. Ramon L. Rivera, Urb. Riverview, Bloq Za-6 Calle 36, Bayamon, PR 00961 | 2013-05-30 |
| 1508132994 | Pharma Express Mc Corp | Pharmacy | Calle 50-a Bloque 7 Suite #8 Royal Town, Bayamon, PR 00956 | 2012-03-29 |
| 1679760151 | Farmacia San Lazaro | Pharmacy | Ave. Santa Juanita Br6-br7, Santa Juanita, Bayamon, PR 00956-1616 | 2007-09-28 |
| 1306068846 | Julio Santos Garcia | Pharmacy | Carr 174 Esq Calle 10 Barrio Juan Sanchez, 153a, Bayamon, PR 00959 | 2007-05-03 |
| 1114051943 | Farmacia Guerrero Inc | Pharmacy | B2 Castiglioni Ave., Bayamon Gardens, Bayamon, PR 00957 | 2007-03-15 |
| 1215071915 | Mvc Sales Corp | Pharmacy | Calle 30 Uu 48 Sta Juanita, Bayamon, PR 00956-4789 | 2007-02-16 |
| 1346386901 | Hadi Haus Inc | Pharmacy | 6 Calle Parque, Bayamon, PR 00961-6218 | 2007-01-30 |
| 1437214244 | Barakah Two Thousand Drugs LLC | Pharmacy | Carr 862 Km 1.9, Calle Pajaros Hato Tejas, Bayamon, PR 00956 | 2006-12-22 |
| 1154421345 | Perez Menendez Hnos Inc | Pharmacy | As52 Calle 37, Bayamon, PR 00956-4742 | 2006-09-25 |
| Find all providers in BAYAMON | ||||
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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.