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1093104432 NPI number — CVS HEALTH

NPI Number: 1093104432
Health Care Provider/Practitioner: CVS HEALTH

Information about “1093104432” NPI (CVS HEALTH) exists in 1093104432 in HTML format HTML  |  1093104432 in plain Text format TXT  |  1093104432 in PDF (Portable Document Format) PDF  |  1093104432 in an XML format XML  formats.

NPI Number : 1093104432 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093104432",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CVS HEALTH",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "201 GLEN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLEN COVE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11542-2734",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "914-759-5555",
    "MailingAddressFaxNumber": "914-759-5556",
    "FirstLinePracticeLocationAddress": "201 GLEN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLEN COVE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11542-2734",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-555-2424",
    "PracticeLocationAddressFaxNumber": "516-525-1142",
    "EnumerationDate": "01/22/2015",
    "LastUpdateDate": "02/17/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MANDIL",
    "AuthorizedOfficialFirstName": "NOHUM",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PHARMACIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHARM.D",
    "AuthorizedOfficialTelephoneNumber": "914-268-1955",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": "059623",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": "059623",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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