PENNSYLVANIA CVS PHARMACY LLC (NPI# 1821192675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821192675 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #01091 |
| Practice Address |
430 Keystone Ave Sayre PA 18840-2006 |
| Mailing Address |
1 Cvs Dr Box 1075 Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 7178887763 |
| Practice Fax Number | 4017707108 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2014-09-11 |
| Authorized Official Name | SUSAN F 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 | PP411332L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3955931 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #01091 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104356971 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 339 E Lancaster Ave, Wynnewood, PA 19096-1920 | 2017-06-14 |
| 1376077545 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2400 Butler Pike, Plymouth Meeting, PA 19462 | 2017-04-14 |
| 1578094751 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 Sumneytown Pike, Spring House, PA 19477 | 2017-03-21 |
| 1750832465 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 501 N 22nd St, Philadelphia, PA 19130-3507 | 2016-10-18 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1144774795 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4664 Browns Hill Road, Pittsburgh, PA 15217 | 2016-08-12 |
| 1588030001 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1678 Susquehanna Rd, Dresher, PA 19025 | 2015-08-19 |
| 1114393063 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 259 Market St, Philadelphia, PA 19106-4502 | 2015-08-14 |
| 1467835546 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1650 Menoher Blvd, Johnstown, PA 15905-2000 | 2015-07-07 |
| 1548641178 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1040 W Chester Pike, West Chester, PA 19382-5003 | 2015-06-09 |
| Street Address |
430 KEYSTONE AVE |
| City | SAYRE |
| State | PA |
| Zip Code | 18840-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434497 | Priyanka Bhardwaj | Student in an Organized Health Care Education/Training Program | One Guthrie Square - Family Medicine Residency - Robert, Sayre, PA 18840 | 2020-07-22 |
| 1669099362 | Tanya Gupta | Student in an Organized Health Care Education/Training Program | 1 Guthrie Square, Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2020-06-29 |
| 1477170330 | Unknown Manas | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Internal Medicine Residency, Guthri, Sayre, PA 18840 | 2020-06-26 |
| 1891311601 | Oneeb Sanaullah | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Sayre, Guthrie/robert Packer Hospit, Sayre, PA 18840 | 2020-06-18 |
| 1801455142 | Rachel Anne Hart | Student in an Organized Health Care Education/Training Program | General Surgery Residency Guthrie/robert Packer Hospita, Sayre, PA 18840 | 2019-06-11 |
| 1073178315 | Anam Aqeel | Student in an Organized Health Care Education/Training Program | One Guthrie Square Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2019-05-02 |
| 1548823156 | Seokjae John Bahng | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2019-04-18 |
| 1811550890 | Najma Nawaz | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Guthrie/robert Packer Hospi, Sayre, PA 18840 | 2019-04-16 |
| 1043701592 | Aisha Khaliq | Internal Medicine | One Guthrie Square Internal Medicine Residency/robert P, Sayre, PA 18840 | 2018-05-21 |
| 1194220822 | Tianyu Shang | Student in an Organized Health Care Education/Training Program | Guthrie/ Robert Packer Hospital, One Guthrie Square, Sayre, PA 18840 | 2018-03-26 |
| Find all providers in zip 18840 | ||||
| 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] |
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| 1386269033 | San Juan Pharmacy LLC | Pharmacy | 200 W Buttonwood St, Reading, PA 19601-2603 | 2020-06-09 |
| 1831719319 | Mark Conklin | Pharmacy | 127 Greenbriar Dr, Wexford, PA 15090-7322 | 2020-04-24 |
| 1912536517 | Hsjc LLC | Pharmacy | 4165 N Franklin St, Philadelphia, PA 19140-2207 | 2020-04-06 |
| 1962036806 | Care Discount Pharmacy | Pharmacy | 5610 Derry St Ste 5, Harrisburg, PA 17111-3518 | 2020-03-01 |
| 1114564945 | Priority Care Rx LLC | Pharmacy | 127 S 5th St Ste 190, Quakertown, PA 18951-1674 | 2019-11-27 |
| 1326683707 | Vista Pharmacy LLC | Pharmacy | 938 N 8th St, Reading, PA 19604-2308 | 2019-11-09 |
| 1750926119 | Dharm Nandan LLC | Pharmacy | 3808 Morrell Ave, Philadelphia, PA 19114-1915 | 2019-11-08 |
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
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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.