NEW JERSEY CVS PHARMACY LLC (NPI# 1760574362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760574362 |
| Entity Type | Organization |
| Organization Name | NEW JERSEY CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY 02577 |
| Practice Address |
156 Newark Pompton Tpke Pequannock NJ 07440-1326 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9136921220 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2010-11-15 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR) |
| 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 | RS005989 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3143308 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 02577 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125684 | New Jersey Cvs Pharmacy LLC | Pharmacy | 1570 Route 38, Lumberton, NJ 08048-2932 | 2019-10-11 |
| 1952959272 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2311 Route 206, Suite 600, Belle Mead, NJ 08502 | 2019-08-29 |
| 1821652611 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1200 Highway 35, Middletown, NJ 07748-2013 | 2019-04-26 |
| 1083183594 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 30 Belvidere Ave, Washington, NJ 07882-1415 | 2018-11-14 |
| 1568912558 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 457 Route 46, Rockaway, NJ 07866 | 2016-10-13 |
| 1336699321 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 29 Vervalen St, Closter, NJ 07624 | 2016-10-13 |
| 1821545435 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3503 Route 46, Parsippany, NJ 07054 | 2016-09-01 |
| 1841662103 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1801 State Route 71, Wall, NJ 07719-3227 | 2015-10-27 |
| 1720459936 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4251 U.S. Hwy 9, Howell, NJ 07731-3379 | 2015-10-14 |
| 1336519149 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Atlantic City Blvd, Beachwood, NJ 08722-2800 | 2015-10-06 |
| Street Address |
156 NEWARK POMPTON TPKE |
| City | PEQUANNOCK |
| State | NJ |
| Zip Code | 07440-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821012055 | Anna Federico | Nurse Practitioner | 156 Newark Pompton Tpke, Minuteclinic Inside Cvs, Pequannock, NJ 07440-1327 | 2006-07-27 |
| 1700425220 | Sharee Watkins | Nurse Practitioner | 156 Newark Pompton Tpke, Pequannock, NJ 07440-1327 | 2020-01-01 |
| 1245892959 | Pawanjeet Kaur | Nurse Practitioner | 156 Newark Pompton Tpke, Pequannock, NJ 07440 | 2019-07-02 |
| 1376912295 | Dawlat Matari-asmar | Nurse Practitioner | 156 Newark Pompton Tpke, Pequannock, NJ 07440-1327 | 2015-09-22 |
| 1568750156 | Celina Jannicelli | Nurse Practitioner | 156 Newark Pompton Tpke, Pequannock, NJ 07440-1327 | 2011-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174053201 | Carmen Diaz Cuevas | Counselor | 49 Marlin Ave, Pequannock, NJ 07440 | 2017-06-12 |
| 1003242868 | Nancy Young | Speech-Language Pathologist | 7 Slingerland Ave, Pequannock, NJ 07440 | 2013-09-24 |
| 1215197058 | Ariadne P Cousoulas | Physician Assistant | 230 West Parkway, Und #10, Pompton Plains, NJ 07440 | 2008-06-16 |
| 1326106675 | Jersey Care Ambulance Services Inc | Ambulance | 22 Pequannock Ave, Pequannock, NJ 07440 | 2006-12-05 |
| 1013995182 | Dariusz Jasinski | Podiatrist | 7 Industrial Road, Suite 203, Pequannock, NJ 07440 | 2006-01-09 |
| 1710370036 | Antoinette Martin | Registered Nurse | 7 Industrial Rd, Pequannock, NJ 07440 | 2015-03-11 |
| 1740805894 | Christine Halabi | Nurse Practitioner | 141 Jacksonville Rd, Pequannock, NJ 07440-1005 | 2020-06-15 |
| 1669826467 | Caterina Belthoff | Physical Therapist | 42 W Parkway, Pequannock, NJ 07440-1020 | 2016-04-18 |
| 1881864239 | Carmine Thomas Beneventine | Durable Medical Equipment & Medical Supplies | 11 Daria Dr, Pequannock, NJ 07440-1126 | 2008-03-01 |
| 1548222391 | Elaine Veronica Giardino | Nurse Practitioner | 48 Payson Rd, Pequannock, NJ 07440-1129 | 2006-04-05 |
| Find all providers in zip 07440 | ||||
| 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 |
|---|---|---|---|---|
| 1801495544 | Medilink Rxcare Hammonton, LLC | Pharmacy | 44 S White Horse Pike, Hammonton, NJ 08037-1845 | 2020-10-23 |
| 1770193757 | Rvl Pharmacy | Pharmacy | 2500 Main St Ste 10, Sayreville, NJ 08872-1473 | 2020-08-05 |
| 1043828577 | Siddhivinayak Inc. | Pharmacy | 90 Bergen St # 1600, Newark, NJ 07103-2425 | 2020-07-21 |
| 1891303616 | Amwell Pharmacy Inc. | Pharmacy | 438 Route 206 Ste 3, Hillsborough, NJ 08844-5525 | 2020-07-17 |
| 1366066235 | Brx LLC | Pharmacy | 250 Chambers Bridge Rd, Brick, NJ 08723 | 2020-06-05 |
| 1982237103 | Holmdel Pharmacy and Deli LLC | Pharmacy | 487 Middle Rd, Hazlet, NJ 07730-2426 | 2020-02-17 |
| 1184254575 | Frrx LLC | Pharmacy | 76 W Gilbert St, Tinton Falls, NJ 07701-4918 | 2020-01-24 |
| 1841820388 | Ewing Pharmacy LLC | Pharmacy | 1400 Parkway Ave Ste A2, Ewing, NJ 08628-3021 | 2020-01-23 |
| 1982240735 | Elite Rx LLC | Pharmacy | 2282 Hamburg Tpke Ste E, Wayne, NJ 07470-6291 | 2019-11-26 |
| 1629626163 | Meadowlands Pharmacy LLC | Pharmacy | 40, Meadowlands Pkway, Secaucus, NJ 07094 | 2019-08-28 |
| Find all providers with the same taxonomy | ||||
| City | PEQUANNOCK |
| Zip Code | 07440 |
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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.