MEDICARE: NEW JERSEY CVS PHARMACY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy	5173	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3136985	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1265524987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW JERSEY CVS PHARMACY LLC

Provider Business Mailing Address
First Line	:	1 CVS DR
Second Line	:	PO BOX 1075
City	:	WOONSOCKET
State	:	RI
Zip	:	02895-6146
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	135 KINDERKAMACK RD
Second Line	:
City	:	RIVER EDGE
State	:	NJ
Zip	:	07661-1915
Country	:	US
Telephone Number	:	201-265-1983
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SUSAN COLBERT
Credential	:
Telephone Number	:	401-765-1500

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	02/16/2015

Similar Medicare Providers

1114523297 — ATEKEH NARAGHI
Practice Location Address:

135 KINDERKAMACK RD
RIVER EDGE, NJ
07661-1915

Practice Phone: 201-441-9223
Practice Fax:

1932924107 — ANNIE HYUN JIN YOON
Practice Location Address:

135 KINDERKAMACK RD
RIVER EDGE, NJ
07661-1915

Practice Phone: 201-441-9223
Practice Fax:

1295720639 — DR. GERALD ALAN ZUKER D.C.
Practice Location Address:

1915 W GRAND RIVER AVE
OKEMOS, MI
48864-1701

Practice Phone: 517-347-3013
Practice Fax: 517-347-2679

1972762367 — RONALD WEEMS JR P.C.
Practice Location Address:

1915 VAUGHN ROAD
WOOD RIVER, IL
62095

Practice Phone: 618-259-2007
Practice Fax: 618-259-2675

1649622820 — DR. BRANDON YEAGER DMD
Practice Location Address:

1915 VAUGHN RD
WOOD RIVER, IL
62095-2511

Practice Phone: 618-259-2007
Practice Fax:

1679075501 — ZUKER CHIROPRACTIC LLC
Practice Location Address:

1915 W GRAND RIVER AVE
OKEMOS, MI
48864-1701

Practice Phone: 517-347-3013
Practice Fax: 517-347-2679

Directions to “NEW JERSEY CVS PHARMACY LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.