NORTH CAROLINA CVS PHARMACY LLC (NPI# 1790888550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790888550 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #03524 |
| Practice Address |
215 N Center St Statesville NC 28677-5235 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7048726591 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-10-07 |
| Authorized Official Name | SUSAN COLBERT (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 |
Suppliers | ||
| Y | 333600000X | Pharmacy | 6787 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3402586 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #03524 | 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 |
| 1790022671 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 100 Grand Hill Pl, Holly Springs, NC 27540-4416 | 2013-01-11 |
| 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 |
| Street Address |
215 N CENTER ST |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677-5235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710362744 | Andrew Hallett | Pharmacist | 215 N Center St, Statesville, NC 28677-5235 | 2015-07-20 |
| 1144579707 | Lauren Burchette Moore | Pharmacist | 215 N Center St, Statesville, NC 28677-5235 | 2012-08-29 |
| 1922391978 | David Richard Butler | Pharmacist | 215 N Center St, Statesville, NC 28677-5235 | 2011-05-24 |
| 1750685699 | Julian Walter Harris | Pharmacist | 215 N Center St, Statesville, NC 28677 | 2011-01-07 |
| 1124322524 | Ann Elizabeth Bejcek | Pharmacist | 215 N Center St, Statesville, NC 28677-5235 | 2010-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| 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 |
|---|---|---|---|---|
| 1881849263 | 1st Rx Pharmacy Inc - Greenbriar | Pharmacy | 308a Mocksville Hwy, Statesville, NC 28625-8267 | 2008-11-26 |
| 1063566412 | Cookes Pharmacy Inc | Pharmacy | 1207 W Front St, Statesville, NC 28677-5052 | 2007-01-23 |
| 1770500936 | Wal-mart Stores East Lp | Pharmacy | 1116 Crossroads Dr, Statesville, NC 28625-8277 | 2006-07-16 |
| 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 | STATESVILLE |
| Zip Code | 28677 |
Please comment or provide details below to improve the information on NORTH CAROLINA CVS PHARMACY LLC.
| 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.