NORTH CAROLINA CVS PHARMACY LLC (NPI# 1790022671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790022671 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17636 |
| Practice Address |
100 Grand Hill Pl Holly Springs NC 27540-4416 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9197623150 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2016-11-10 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| 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 |
12823 | NC | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2138378 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17636 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1821465568 | North Carolina Cvs Pharmacy LLC | Pharmacy | 3001 Hillsborough St, Suite 100, Raleigh, NC 27607-5434 | 2015-08-28 |
| 1437492246 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 N Sandhills Blvd, Aberdeen, NC 28315-2304 | 2013-03-29 |
| 1518202209 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1025 Nc 24-87, Cameron, NC 28326-6954 | 2012-12-06 |
| 1043588627 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1132 East Cutlar Crossing, Leland, NC 28451-6426 | 2011-12-09 |
| 1639456502 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7496 Rockfish Rd, Fayetteville, NC 28306-8076 | 2011-11-07 |
| 1003195801 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3001 Market Center Dr, Morrisville, NC 27560-7505 | 2011-08-10 |
| 1295026565 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2351 Us 70 Hwy, Swannanoa, NC 28778-8207 | 2011-04-21 |
| 1619270501 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13461 Nc Hwy 50, Surf City, NC 28445-6553 | 2010-12-15 |
| 1912200122 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6216 Battle Bridge Rd, Raleigh, NC 27610-1445 | 2010-12-09 |
| Street Address |
100 GRAND HILL PL |
| City | HOLLY SPRINGS |
| State | NC |
| Zip Code | 27540-4416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666070 | William C Omerza | Pharmacist | 100 Grand Hill Pl, Holly Springs, NC 27540-4416 | 2020-10-15 |
| 1376068593 | Adam Britt | Pharmacist | 100 Grand Hill Pl, Holly Springs, NC 27540-4416 | 2017-08-09 |
| 1578017653 | Juhin Sureshbhai Patel | Pharmacist | 100 Grand Hill Pl, Holly Springs, NC 27540-4416 | 2016-08-07 |
| 1982094793 | Stephanie Copper | Pharmacy Technician | 100 Grand Hill Pl, Holly Springs, NC 27540-4416 | 2015-02-01 |
| 1306236104 | Sara K Jadi | Pharmacy Technician | 100 Grand Hill Pl, Holly Springs, NC 27540-4416 | 2015-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528612785 | Marina Isabel Mckeown | Speech-Language Pathologist | 1140 W Savannah Ridge Rd, Suite 111, Holly Springs, NC 27540 | 2019-07-26 |
| 1912474784 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1004 Werrington Drive, Suite 300, Holly Springs, NC 27540 | 2018-10-30 |
| 1699240937 | Kristen Shrum | Family Medicine | 401 Irving Parkway, Holly Springs, NC 27540 | 2018-10-12 |
| 1508369109 | Shannon Silsby | Nurse Practitioner | 1004 Werrington Dr Ste 200, Holly Springs, NC 27540 | 2018-03-10 |
| 1790212306 | Alex Nolan | Speech-Language Pathologist | 251 Center Street, Holly Springs, NC 27540 | 2017-05-12 |
| 1386190957 | Holly Springs Surgery Center, LLC | Clinic/Center | 600 Village Walk Drive, Holly Springs, NC 27540 | 2016-09-01 |
| 1568827723 | Leslie Clark Lively | Speech-Language Pathologist | 1140 W. Savannah Ridge Road, Suite 111, Holly Springs, NC 27540 | 2015-12-15 |
| 1124410667 | Back In Action of Holly Springs, Inc | Physical Therapist | 500 Village Walk Dr., Holly Springs, NC 27540 | 2015-02-20 |
| 1033559018 | Andrew John Krieger | Emergency Medicine | 5405 Bluet Ct, Holly Springs, NC 27540 | 2013-07-05 |
| 1598104200 | Atkins Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 144 Adrian Street, Holly Springs, NC 27540 | 2013-06-17 |
| Find all providers in zip 27540 | ||||
| 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 |
|---|---|---|---|---|
| 1972508695 | Tyson Drugs Inc | Pharmacy | 145 E Van Dorn Ave, Holly Springs, MS 38635-3025 | 2005-06-17 |
| 1912208539 | Olde Time Pharmacy At Sixes LLC | Pharmacy | 684 Sixes Rd Ste 105, Holly Springs, GA 30115-8720 | 2010-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163135 | Bl Apothecary | Pharmacy | 2739 W 5th St, Lumberton, NC 28358-7819 | 2020-10-31 |
| 1730795873 | Vaxclinic, LLC | Pharmacy | 4400 Park Rd Ste 316, Charlotte, NC 28209-3289 | 2020-09-22 |
| 1720692908 | Geriatrx | Pharmacy | 1655 Snowmass Way, Durham, NC 27713-4514 | 2020-09-03 |
| 1245841279 | Novant Health Pharmacy Services, LLC | Pharmacy | 125 Queens Rd Ste 180, Charlotte, NC 28204-3215 | 2020-08-13 |
| 1912516287 | Pinetops Pharmacy, Inc. | Pharmacy | 102 W. Hamlet St, Pinetops, NC 27864 | 2020-07-23 |
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1629618285 | Dalia Zaghlool | Pharmacy | 4353 Milhaven Park Ln, Winston Salem, NC 27106-4970 | 2020-01-12 |
| 1770123887 | Scotland Memorial Hospital Inc | Pharmacy | 700 Progress Pl, Laurinburg, NC 28352-5545 | 2020-01-07 |
| 1194361832 | Realo Veterinary Pharmacy Inc | Pharmacy | 3800 Gateway Centre Blvd Ste 308a, Morrisville, NC 27560-6220 | 2019-11-18 |
| 1952946246 | Emily Hodges Hall | Pharmacy | 627 E 12th Street, Washington, NC 27889 | 2019-11-11 |
| Find all providers with the same taxonomy | ||||
| City | HOLLY SPRINGS |
| Zip Code | 27540 |
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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.