CVS PHARMACY, INC. (NPI# 1912199969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912199969 |
| Entity Type | Organization |
| Organization Name | CVS PHARMACY, INC. |
| Other Organization Name | CVS PHARMACY #05314 |
| Practice Address |
1411 Main Street Dallas TX 75202 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 2147494092 |
| Practice Fax Number | 4017707108 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2015-02-19 |
| Authorized Official Name | CRISTIANA MAURICIO (MANAGER, PHARMACY ENROLLMENTS) |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | COMMERCIAL NUMBER | 4546516 | 01 |
| TX | 466429 | 05 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #05314 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1083225528 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 110 E. Richey Rd, Houston, TX 77090-5802 | 2020-08-10 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| 1730676461 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 8041 N Mesa St # A, El Paso, TX 79932 | 2018-04-18 |
| 1053826594 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 4165 Washington St, Roslindale, MA 02131-1718 | 2017-12-06 |
| 1710335351 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 4489 County Road 94, Manvel, TX 77578 | 2016-05-24 |
| 1043666407 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1555 East Renner Rd, Richardson, TX 75082-3074 | 2016-05-04 |
| 1104281914 | Cvs Pharmacy, Inc. | Pharmacy | 10515 Fry Rd, Cypress, TX 77433 | 2015-12-21 |
| 1588029458 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 7220 Blue Mound Rd, Fort Worth, TX 76131-4802 | 2015-12-21 |
| 1558677740 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1484 Ruben Torres Blvd, Brownsville, TX 78521-1537 | 2010-08-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CVS PHARMACY, INC. | 1 Cvs Drive, Woonsocket, RI 02895 |
| Iowa Business Entities | CVS PHARMACY, INC. | One Cvs Dr, Woonsocket, RI 02895 |
| Massachusetts Corporations | CVS PHARMACY, INC. | One Cvs Drive, Woonsocket, RI 02895 |
| Washington State Corporations | CVS PHARMACY, INC. | 1 Cvs Dr # 1160, Woonsocket, RI 02895-6146 |
| Colorado Business Entities | CVS Pharmacy, Inc. | 1 Cvs Drive, Mc 1160, Woonsocket, RI 02895 |
| Connecticut Business Registrations | CVS PHARMACY, INC. | One Cvs Drive, Woonsocket, RI 02895 |
| New York State Corporations | CVS PHARMACY, INC. | 28 Liberty St., New York, Ny 10005 |
| Street Address |
1411 MAIN STREET |
| City | DALLAS |
| State | TX |
| Zip Code | 75202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710411822 | Latosca Brunner | Nurse Practitioner | 221 W Beckley Blvd, Pavilion 2 Suite 929, Dallas, TX 75202 | 2017-04-14 |
| 1871925982 | Lew Sterrett Justice Center Pharmacy | Pharmacy | 113 W Commerce, Dallas, TX 75202 | 2013-07-31 |
| 1790001683 | Andrew Paul Schade | Psychologist | 1412 Main St., Suite 320, Dallas, TX 75202 | 2010-04-16 |
| 1801991518 | Kay Karen Redwine | Nurse Practitioner | 703 Mckinney Avenue, Suite 433, Dallas, TX 75202 | 2006-09-14 |
| 1922544113 | Michael Jafarzadeh | Psychologist | 1412 Main St, Ste. 320, Dallas, TX 75202 | 2017-01-11 |
| 1730263765 | Keith W Brewster | Dentist | 1717 Main St, Suite 2480, Dallas, TX 75202 | 2006-10-25 |
| 1790384121 | Texas Agapecare, LLC | Day Training, Developmentally Disabled Services | 2211 N Lamar St Ste 225, Dallas, TX 75202-1005 | 2020-10-17 |
| 1477534014 | Michael Howard Langfus | Physician Assistant | 703 Mckinney Ave, Dallas, Dallas, TX 75202-1007 | 2005-11-10 |
| 1265733547 | Local Doctor Housecall | General Practice | 703 Mckinney Ave, Suite 421, Dallas, TX 75202-1007 | 2010-11-03 |
| 1568799591 | Central Laboratory Services, Inc. | Clinical Medical Laboratory | 703 Mckinney Ave, Ste. 403, Dallas, TX 75202-1007 | 2009-11-12 |
| Find all providers in zip 75202 | ||||
| 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 |
|---|---|---|---|---|
| 1194349431 | Southern Star Pharmacy 002 | Pharmacy | 7125 Marvin D Love Fwy Ste 105, Dallas, TX 75237-3111 | 2020-06-02 |
| 1386264547 | Amc Pharmacy Inc. | Pharmacy | 655 W Illinois Ave Ste 918, Dallas, TX 75224-1814 | 2020-04-17 |
| 1457918112 | Soch Pharmacy | Pharmacy | 8067 W Virginia Dr # 200, Dallas, TX 75237-3767 | 2019-05-28 |
| 1780159715 | North G Rx LLC | Pharmacy | 9415 Bruton Rd Ste 3104, Dallas, TX 75217-2647 | 2018-10-05 |
| 1699256826 | Arete Group LLC | Pharmacy | 1555 W Mockingbird Ln Ste 208, Dallas, TX 75235-5019 | 2018-08-25 |
| 1427535780 | Medicinesplus LLC | Pharmacy | 2603 Oak Lawn Ave Ste 102, Dallas, TX 75219-4059 | 2018-07-19 |
| 1346727609 | Medicinesplus Integrative Care LLC | Pharmacy | 2603 Oak Lawn Ave Ste 101a, Dallas, TX 75219-4059 | 2018-07-19 |
| 1578093183 | Doughertys Ltc Pharmacy LLC | Pharmacy | 5959 Royal Ln Ste 513, Dallas, TX 75230-3856 | 2017-06-15 |
| 1851838387 | Patmos Consulting LLC | Pharmacy | 5445 La Sierra Dr Ste 202, Dallas, TX 75231-4176 | 2017-01-23 |
| 1518419886 | Rx Professionals LLC | Pharmacy | 1709 Martin Luther King Jr Blvd Ste 2, Dallas, TX 75215-3281 | 2016-11-02 |
| Find all providers in DALLAS | ||||
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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.