Healthcare Provider Details

I. General information

NPI: 1811852460
Provider Name (Legal Business Name): CVS RX SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 9TH ST
BROOKLYN NY
11215-4007
US

IV. Provider business mailing address

24 GIANNA CT
STATEN ISLAND NY
10306-6177
US

V. Phone/Fax

Practice location:
  • Phone: 718-499-3414
  • Fax:
Mailing address:
  • Phone: 718-501-1836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State

VIII. Authorized Official

Name: ERICA KADRIA
Title or Position: PHARMACISTS
Credential: PHARM D
Phone: 718-501-1836