OHIO CVS STORES LLC (NPI# 1972607646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972607646 |
| Entity Type | Organization |
| Organization Name | OHIO CVS STORES LLC |
| Other Organization Name | CVS PHARMACY #03094 |
| Practice Address |
379 E Main St Newark OH 43055-6533 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7403454201 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-03-08 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, MANAGED CARE ADMIN) |
| 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 | 02-1050500 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3664821 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #03094 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639724487 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 6030 N Hamilton Rd, Westerville, OH 43081-1685 | 2019-08-08 |
| 1942797345 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 1892 North High St, Columbus, OH 43210 | 2018-04-20 |
| 1922524859 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 2104 S. Byrne Rd, Toledo, OH 43614 | 2017-08-22 |
| 1124575865 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 210 E Emmitt Ave, Waverly, OH 45690-1336 | 2016-09-09 |
| 1154721264 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 10560 Sawmill Rd, Powell, OH 43065 | 2014-08-26 |
| 1043626138 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 2210 West Tuscarawas St, Canton, OH 44708 | 2014-07-09 |
| 1033545991 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 3761 Massilon Rd, Green, OH 44685 | 2013-09-23 |
| 1225461874 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 212 E Wooster St, Bowling Green, OH 43402-2921 | 2013-08-19 |
| 1477844926 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 1130 Lincoln Way East, Massillon, OH 44646 | 2011-05-02 |
| 1922398437 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 7292 Fulton Dr Nw, Canton, OH 44718-1525 | 2011-04-18 |
| Street Address |
379 E MAIN ST |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-6533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| 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 |
|---|---|---|---|---|
| 1043828577 | Siddhivinayak Inc. | Pharmacy | 90 Bergen St # 1600, Newark, NJ 07103-2425 | 2020-07-21 |
| 1518438506 | Delaware Apothecary | Pharmacy | 1215 Churchmans Rd, Newark, DE 19713-2149 | 2018-12-17 |
| 1053802819 | Ferry Pharmacy | Pharmacy | 165 Ferry St, Newark, NJ 07105 | 2018-05-28 |
| 1770011371 | Apollo Pharmacy Inc | Pharmacy | 130 Summer Ave, Newark, NJ 07104-1903 | 2017-05-25 |
| 1235681032 | Jcpr Corp | Pharmacy | 2600 Glasgow Ave Ste 108, Newark, DE 19702-5703 | 2016-10-27 |
| 1750835104 | Trinity Global Pharmacy LLC. | Pharmacy | 287 S Orange Ave, Newark, NJ 07103-2438 | 2016-08-14 |
| 1184000622 | Metro Pharmacy Inc | Pharmacy | 620 Stanton Christiana Rd Ste 102, Newark, DE 19713-2134 | 2015-08-06 |
| 1538557178 | Obeng Pharmacy LLC | Pharmacy | 671 Martin Luther King Jr Blvd, Newark, NJ 07102-1186 | 2015-01-06 |
| 1790917037 | Trimax Medical Services Inc | Pharmacy | 1299 Mccarter Hwy, Newark, NJ 07104-3757 | 2009-08-20 |
| 1720241649 | Option Care Enterprises Inc | Pharmacy | 604 White Clay Center Dr, Newark, DE 19711 | 2008-07-10 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on OHIO CVS STORES 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.