NORTH CAROLINA CVS PHARMACY LLC (NPI# 1871696567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871696567 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #03694 |
| Practice Address |
2325 Village Lake Dr Charlotte NC 28212-0081 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7045363663 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-03-02 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 6583 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3429429 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #03694 | 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 |
2325 VILLAGE LAKE DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28212-0081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255989620 | Suendus Asfar | Pharmacist | 2325 Village Lake Dr, Charlotte, NC 28212-0081 | 2019-08-29 |
| 1245759828 | Edward Plugovoy | Pharmacist | 2325 Village Lake Dr, Charlotte, NC 28212-0081 | 2017-09-14 |
| 1760813026 | Timothy Berg | Pharmacist | 2325 Village Lake Dr, Charlotte, NC 28212-0081 | 2013-12-11 |
| 1558633578 | Rhonda H Bean | Pharmacist | 2325 Village Lake Dr, Charlotte, NC 28212-0081 | 2012-02-07 |
| 1336430859 | Shannon Elizabeth Cozort | Pharmacist | 2325 Village Lake Dr, Charlotte, NC 28212-0081 | 2011-05-02 |
| 1508162140 | Jamie Blum | Pharmacist | 2325 Village Lake Dr, Charlotte, NC 28212-0081 | 2011-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371250 | Amy Sierra Conner | Counselor | 5700 Executive Drive Suite 110, Charlotte, NC 28212 | 2019-11-25 |
| 1700447307 | Nagarani Nagarajan Dds.,pllc | Clinic/Center | 2510 Vista Drive, Suite 100, Charlotte, NC 28212 | 2019-06-25 |
| 1700441011 | Khadija Brown | Counselor | 6601 English Hills Dr, Charlotte, NC 28212 | 2019-05-02 |
| 1245711514 | Savannah Huneycutt | Dentist | 6708 Albemarle Road, Charlotte, NC 28212 | 2018-08-24 |
| 1417435710 | Porcelain Dolls of The Carolinas, Inc | Clinic/Center | 5835 Executive Center Dr # 101-i, Charlotte, NC 28212 | 2018-07-30 |
| 1447701511 | Christine Walker Physical Therapy, LLC | Clinic/Center | 8850 Monroe Rd, Charlotte, NC 28212 | 2016-10-24 |
| 1013376128 | Colby Edward Joyner | Physician Assistant | 7005 Wallace Rd Ste 600, Charlotte, NC 28212 | 2016-02-17 |
| 1760814412 | Nguyen Tri Nguyen, Dds, Pa | Dentist | 6404 Albemarle Road, #c, Charlotte, NC 28212 | 2013-08-05 |
| 1477806834 | Tara Thompson | Counselor | 6900 Democracy Dr., Charlotte, NC 28212 | 2012-10-23 |
| 1568711109 | Mary Dianne Branch | Counselor | 8130 Runaway Bay Drive Apt Q, Charlotte, NC 28212 | 2012-08-29 |
| Find all providers in zip 28212 | ||||
| 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 |
|---|---|---|---|---|
| 1730795873 | Vaxclinic, LLC | Pharmacy | 4400 Park Rd Ste 316, Charlotte, NC 28209-3289 | 2020-09-22 |
| 1245841279 | Novant Health Pharmacy Services, LLC | Pharmacy | 125 Queens Rd Ste 180, Charlotte, NC 28204-3215 | 2020-08-13 |
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1942863832 | Ndvs Drugs, Inc. | Pharmacy | 5820 E W T Harris Blvd Ste E2, Charlotte, NC 28215-4559 | 2019-04-17 |
| 1053856419 | Central Pharmacy - Charlotte LLC | Pharmacy | 354 S Cochran Ave Ste 3, Charlotte, MI 48813-1569 | 2016-12-21 |
| 1639559966 | Star Bright Pharmacy Inc. | Pharmacy | 231 Mt Holly Huntersville Rd, Ste 160, Charlotte, NC 28214-9357 | 2015-06-02 |
| 1487047874 | Lax Group LLC | Pharmacy | 8035 Providence Rd Ste 100, Charlotte, NC 28277-9716 | 2015-03-10 |
| 1851718571 | Friendly Family Pharmacy, LLC Dba Friendly Family Pharmacy Paw Creek | Pharmacy | 517 Little Rock Rd, Charlotte, NC 28214-1915 | 2014-03-19 |
| 1932521416 | Charlotte-mecklenburg Hospital Authority | Pharmacy | 4400 Golf Acres Dr Ste F, Charlotte, NC 28208-5990 | 2014-01-17 |
| 1740613140 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Rd Ste H, Charlotte, NC 28210-7429 | 2013-08-21 |
| Find all providers in CHARLOTTE | ||||
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.