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	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy	5535	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3139626	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427140904
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	:	3003 RTE 130, SOUTH & TENBY CHASE DR
Second Line	:
City	:	DELRAN
State	:	NJ
Zip	:	08075-2412
Country	:	US
Telephone Number	:	609-764-5624
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	:	07/28/2021

Similar Medicare Providers

1306620521 — DANTE RICHARD SAWYER PHARMD, RPH
Practice Location Address:

3003 ROUTE 130
DELRAN, NJ
08075-2412

Practice Phone: 856-764-5624
Practice Fax:

1063411320 — DEBORA ANNE RAUSCH MD
Practice Location Address:

8008 ROUTE 130 NORTH , SUITE 120
DELRAN, NJ
08075-1869

Practice Phone: 856-764-7997
Practice Fax: 856-764-1840

1134129125 — DR. STEPHEN EVAN KABEL D. O.
Practice Location Address:

26 HAINES MILL RD
DELRAN, NJ
08075-1715

Practice Phone: 856-461-6200
Practice Fax: 856-461-4013

1245232198 — MICHAEL J HICKS MD
Practice Location Address:

4000 ROUTE 130 BLDG C
DELRAN, NJ
08075-2414

Practice Phone: 856-705-0685
Practice Fax:

1245229913 — DR. ANNABELLE BELLO DIMAPILIS D.O
Practice Location Address:

4000 ROUTE 130 BLDG C
DELRAN, NJ
08075-2414

Practice Phone: 856-705-0685
Practice Fax:

1740262922 — MR. RICHARD D STANIEC RPH
Practice Location Address:

113 RED STONE RDG
DELRAN, NJ
08075-2031

Practice Phone: 856-764-7161
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.