CVS ALBANY LLC (NPI# 1669576427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669576427 |
Entity Type | Organization |
Organization Name | CVS ALBANY LLC |
Other Organization Name | CVS PHARMACY |
Practice Address |
1565 Route 112 Medford NY 11763-3647 |
Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
Practice Telephone | 6316540329 |
Mailing Telephone | 4017651500 |
Enumeration Date | 2006-09-12 |
Last Update Date | 2014-08-01 |
Authorized Official Name | SUSAN F COLBERT (MGR PHCY ENROLLMENTS) |
Authorized Official Telephone | 4017702937 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
Y | 333600000X | Pharmacy | 024119 | NY | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 3346598 | 01 |
Other Name | Type Code |
---|---|
CVS PHARMACY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497385967 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 1520 Forest Ave, Staten Island, NY 10302-2234 | 2020-01-23 |
1861053605 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 196 Orchard St, New York, NY 10002-5093 | 2019-06-24 |
1760963631 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 307 Middle Country Rd, Selden, NY 11784-2558 | 2018-08-28 |
1578044533 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 3536 Broadway, New York, NY 10031-5632 | 2018-08-27 |
1548747470 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 288 Saint Nicholas Ave, New York, NY 10027-4811 | 2018-07-24 |
1386148740 | Cvs Albany LLC | Pharmacy | 203 South Plank Rd, Newburgh, NY 12550 | 2018-03-21 |
1699279281 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 711 Glen Cove Rd, Glen Head, NY 11545 | 2018-03-20 |
1225546005 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 969 2nd Ave, New York, NY 10022-6303 | 2018-01-16 |
1447768247 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 87 Sunset Ave, Westhampton Beach, NY 11978-2324 | 2018-01-15 |
1669988473 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 1760 5th Ave, Bay Shore, NY 11706-1739 | 2017-12-18 |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Retail Food Store | CVS ALBANY LLC | RT 9W FAITH PLAZA RAVENA NY 12143 |
Street Address |
1565 ROUTE 112 |
City | MEDFORD |
State | NY |
Zip Code | 11763-3647 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720694698 | Jennifer Noelle Blazy | Pharmacist | 1565 Route 112, Medford, NY 11763-3647 | 2020-09-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
Find all providers in zip 11763 |
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 |
---|---|---|---|---|
1598186595 | Pharmacy 112 Inc. | Pharmacy | 2608 Route 112 # B, Medford, NY 11763-2551 | 2013-12-18 |
1669721239 | Medford Compounding & Specialty Pharmacy LLC | Pharmacy | 2612 Route 112, Medford, NY 11763-2522 | 2012-08-29 |
1255623401 | Downtown Pharmacy Inc. | Pharmacy | 3528 Lone Pine Rd # 2, Medford, OR 97504-5668 | 2011-05-06 |
1063682805 | Wellness Compounding Pharmacy | Pharmacy | 522 Crater Lake Ave, Medford, OR 97504-6810 | 2008-03-07 |
1235236175 | Kennedy Drug Co | Pharmacy | 107 E Cherokee St, Medford, OK 73759-1209 | 2006-09-20 |
1275545857 | Shore Pharmacy | Pharmacy | 429 High St, Medford, MA 02155-3632 | 2006-08-12 |
1073545943 | Stop and Shop Supermarket Co LLC | Pharmacy | 760 Fellsway, Medford, MA 02155-4926 | 2006-07-07 |
1609808559 | Stop and Shop Supermarket Co LLC | Pharmacy | 70030 Patchogue Yaphank Road, Medford, NY 11763 | 2006-07-07 |
1174568562 | Fred Meyer Stores Inc | Pharmacy | 1301 Center Dr, Medford, OR 97501-7938 | 2006-06-18 |
1659312023 | Downtown Pharmacy Inc | Pharmacy | 333 N Riverside Ave, Medford, OR 97501-5937 | 2006-06-09 |
Find all providers in MEDFORD |
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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.