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	RS02981	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3122493	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1316020647
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	:	250 CLOSTER DOCK RD
Second Line	:
City	:	CLOSTER
State	:	NJ
Zip	:	07624-2616
Country	:	US
Telephone Number	:	201-767-6890
Fax Number	:

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	11/08/2010

Similar Medicare Providers

1881697753 — DR. ALAN ROSS O.D.
Practice Location Address:

270 CLOSTER DOCK RD
CLOSTER, NJ
07624-2616

Practice Phone: 201-768-2433
Practice Fax: 201-768-1861

1104148535 — DR. SANA ALOMARI
Practice Location Address:

250 CLOSTER DOCK RD
CLOSTER, NJ
07624-2616

Practice Phone: 201-497-6100
Practice Fax:

1386920429 — DR. ALAN ROSS OD PA
Practice Location Address:

270 CLOSTER DOCK RD
CLOSTER, NJ
07624-2616

Practice Phone: 201-768-2433
Practice Fax:

1568065860 — CARL JOSEPH GARCIA
Practice Location Address:

250 CLOSTER DOCK RD
CLOSTER, NJ
07624-2616

Practice Phone: 201-767-6890
Practice Fax:

1801490974 — DIANE COHEN
Practice Location Address:

250 CLOSTER DOCK RD
CLOSTER, NJ
07624-2616

Practice Phone: 201-767-6890
Practice Fax:

1477134427 — HAE LEE
Practice Location Address:

250 CLOSTER DOCK RD
CLOSTER, NJ
07624-2616

Practice Phone: 201-230-5449
Practice Fax:

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.