MEDICARE: CVS PHARMACY

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	183500000X	Pharmacist	S019261	AZ

General Provider Information

NPI Number	:	1578973228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CVS PHARMACY

Provider Business Mailing Address
First Line	:	360 N VAL VISTA DR
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85213-8624
Country	:	US
Telephone Number	:	480-807-0251
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 N VAL VISTA DR
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85213-8624
Country	:	US
Telephone Number	:	480-807-0251
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST
Name	:	DON NGUYEN
Credential	:	PHARM.D
Telephone Number	:	408-821-3859

Provider Enumeration Date	:	05/03/2014
Last Update Date	:	05/03/2014

Similar Medicare Providers

1508278631 — MRS. MARY ANN LOFGREN RPH
Practice Location Address:

360 N VAL VISTA DR
MESA, AZ
85213-8624

Practice Phone: 480-807-0251
Practice Fax: 480-832-5379

1467049585 — MIRANDA WOLF PHARMD
Practice Location Address:

360 N VAL VISTA DR
MESA, AZ
85213-8624

Practice Phone: 480-807-0251
Practice Fax: 480-832-5379

1386748275 — GERMAN DOBSON CVS LLC
Practice Location Address:

360 N VAL VISTA DR
MESA, AZ
85213-8624

Practice Phone: 480-807-0251
Practice Fax:

1295580959 — ANISSA BROCKMAN RPH
Practice Location Address:

360 N VAL VISTA DR
MESA, AZ
85213-8624

Practice Phone: 480-807-0251
Practice Fax:

1255299475 — SYRAX PLLC
Practice Location Address:

2233 E LOCKWOOD ST
MESA, AZ
85213-2256

Practice Phone: 714-655-4570
Practice Fax:

1750240644 — DEAN HUBER
Practice Location Address:

3411 E INGLEWOOD CIR
MESA, AZ
85213-3266

Practice Phone: 602-736-6011
Practice Fax:

Directions to “CVS PHARMACY ” 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.