MEDICARE: CVS PHARMACY INC

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	333600000X	Pharmacy	24842	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4533647	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1396842795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CVS PHARMACY INC

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	:	3013 MARINA BAY DR
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-2875
Country	:	US
Telephone Number	:	281-538-2416
Fax Number	:

Authorized Official
Title or Position	:	MGR PHCY ENROLLMENTS
Name	:	CRISTIANA MAURICIO
Credential	:
Telephone Number	:	401-770-2937

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	02/26/2015

Similar Medicare Providers

1154875896 — IDEAL DENTAL OF LEAGUE CITY PLLC
Practice Location Address:

2875 E LEAGUE CITY PKWY , SUITE 800
LEAGUE CITY, TX
77573-7158

Practice Phone: 832-905-0210
Practice Fax:

1053939637 — DR. ANUSHA JOSEPH
Practice Location Address:

2875 E LEAGUE CITY PKWY
LEAGUE CITY, TX
77573-7158

Practice Phone: 832-913-5805
Practice Fax:

1902401854 — KELLY TIFFANY HOGGATT PHARMACIST
Practice Location Address:

3013 MARINA BAY DR
LEAGUE CITY, TX
77573-2875

Practice Phone: 281-538-2416
Practice Fax:

1104040393 — TOP TRANSPORT INC
Practice Location Address:

90 HARMON ST , APT # 2
JERSEY CITY, NJ
07304-2875

Practice Phone: 201-832-5340
Practice Fax:

1699025858 — DR. THOMAS K SWISHER
Practice Location Address:

2875 BETHANY LANE
ELLICOTT CITY, MD
21042

Practice Phone: 410-465-8985
Practice Fax:

1194158725 — MICHAEL WAWERU
Practice Location Address:

5034 LONGVIEW RD , APT #12
KANSAS CITY, MO
64137-2875

Practice Phone: 816-810-2951
Practice Fax:

Directions to “CVS PHARMACY INC ” 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.