CVS (NPI# 1689875817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689875817 |
| Entity Type | Organization |
| Organization Name | CVS |
| Practice Address |
105 Cherry Hl Syracuse NY 13214-2303 |
| Practice Telephone | 3154452472 |
| Practice Fax Number | 3152993396 |
| Mailing Telephone | 3154452472 |
| Mailing Fax Number | 3152993396 |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS SUE SLOANE (PHARMACIST) |
| Authorized Official Telephone | 3156821918 |
| Authorized Official Credential | R.PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609327568 | Cvs | Pharmacy | 7777 Bluebonnet Blvd # 100, Baton Rouge, LA 70810-1632 | 2016-10-16 |
| 1255881074 | Cvs | General Acute Care Hospital | 1512 Prospect Ave Apt D, D, San Gabriel, CA 91776-4422 | 2016-10-05 |
| 1174079701 | Cvs | Pharmacy | 3883 E. Foothill Blvd, Pasadena, CA 91107 | 2016-09-01 |
| 1114378577 | Cvs | Health Maintenance Organization | 11358 Cuttyhunk Ct, Cypress, CA 90630-5439 | 2016-06-28 |
| 1588037840 | Cvs | Health Maintenance Organization | 800 Canal St, New Orleans, LA 70112-2306 | 2015-11-09 |
| 1023485539 | Cvs | Clinic/Center | 6480 Old Waterloo Road, Elkridge, MD 21075 | 2015-09-01 |
| 1730562695 | Cvs | Pharmacy | 4755 W. Rosecrans Ave, Hawthorne, CA 90505-5525 | 2015-07-09 |
| 1154736064 | Cvs | Public Health or Welfare | 7004 Youree Drive, Shreveport, LA 71005 | 2014-06-30 |
| 1154740991 | Cvs | Pharmacy | 7434 W Indian School Rd, Phoenix, AZ 85033-3138 | 2014-04-09 |
| 1770880437 | Cvs | Pharmacy | 4300 Highway 49 S, Harrisburg, NC 28075-7527 | 2011-02-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CVS | 642 W University Ave #152, Denton, TX 76209-0000 |
| Colorado Liquor Licenses | CVS / PHARMACY #10785 | 16920 Lincoln Avenue, Parker, CO 80134 |
| Massachusetts Corporations | CVS 1001 MA, L.L.C. | One Cvs Drive, Woonsocket, RI 02895 |
| Virginia Business Entities | CVS 10024 VA L.L.C. | One Cvs Dr, Woonsocket, Rhode Island 02895 |
| Oklahoma Business Registrations | CVS 10102 OK, L.L.C. | One Cvs Dr, Woonsocket, RI 02895 |
| Virginia Business Entities | CVS 10117 VA L.L.C. | One Cvs Drive, Woonsocket, Rhode Island 02895 |
| Virginia Business Entities | CVS 10170 VA L.L.C. | One Cvs Dr, Woonsocket, Rhode Island 02895 |
| Oklahoma Business Registrations | CVS 10175 OK, L.L.C. | 1209 Orange St, Wilmington, DE 19801 |
| Massachusetts Corporations | CVS 10196 MA, LLC | 1 Cvs Dr., Woonsocket, RI 02895 |
| Oklahoma Business Registrations | CVS 10213 OK, L.L.C. | 1209 Orange St, Wilmington, DE 19801 |
| Street Address |
105 CHERRY HL |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13214-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
| 1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
| 1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
| 1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
| 1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
| Find all providers in zip 13214 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154979102 | Kourtnei-rae Lorraine Gondeck | Pharmacist | 6040 Tarbell Rd Ste 103, Syracuse, NY 13206-1348 | 2019-09-03 |
| 1972155265 | Daniel Faliy | Pharmacist | 406 Butternut St, Syracuse, NY 13208-2627 | 2019-07-16 |
| 1932688272 | Tori Rachel Hoffman | Pharmacist | 792 N Main St Ste 200c, Syracuse, NY 13212-1673 | 2018-08-08 |
| 1912375395 | Kama Thomas | Pharmacist | 1237 E Genesee St, Apt 1, Syracuse, NY 13210-1977 | 2015-09-02 |
| 1588052021 | Cory Ryan Villanueva | Pharmacist | 329 N Salina St Ste P, Syracuse, NY 13203-1755 | 2015-01-07 |
| 1932483781 | Toni Marie Hammer | Pharmacist | 1405 East Genesee St, Syracuse, NY 13210 | 2011-09-28 |
| 1871886960 | Gina Tornatore | Pharmacist | 1820 Teall Ave., Syracuse, NY 13206 | 2011-05-23 |
| 1366767725 | Ramesh A Shah | Pharmacist | 22 Turnstone Cir, Syracuse, NY 13219-1555 | 2010-03-29 |
| 1871817197 | Steven M St.onge | Pharmacist | 349 Clairmonte Ave, Syracuse, NY 13207-1306 | 2010-03-15 |
| 1992028690 | A John Wylie | Pharmacist | 4840 Sherwood Dr., Syracuse, NY 13215 | 2010-03-09 |
| Find all providers in SYRACUSE | ||||
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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.