MEDICARE: NORTH CAROLINA CVS PHARMACY, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3418147	OTHER	NCPDP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184953457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH CAROLINA CVS PHARMACY, L.L.C.

Provider Business Mailing Address
First Line	:	ONE CVS DRIVE
Second Line	:	BOX 1075-PHARMACY ENROLLMENTS
City	:	WOONSOCKET
State	:	RI
Zip	:	02895
Country	:	US
Telephone Number	:	401-765-1500
Fax Number	:	401-770-7108

Provider Business Practice Location Address
First Line	:	8220 MOUNT HOLLY HUNTERSVILLE RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216
Country	:	US
Telephone Number	:	704-399-5303
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, PAYER RELATIONS
Name	:	SUSAN COLBERT
Credential	:
Telephone Number	:	401-770-2751

Provider Enumeration Date	:	12/16/2009
Last Update Date	:	03/05/2012

Similar Medicare Providers

1710840863 — MONIQUE MCKNIGHT
Practice Location Address:

3518 GOLDENEYE DR
CHARLOTTE, NC
28216-5900

Practice Phone: 704-312-8171
Practice Fax:

1396536488 — LOTS LORD OF THE STREETS
Practice Location Address:

9910 STEWART SPRING LN
CHARLOTTE, NC
28216-2170

Practice Phone: 704-200-4150
Practice Fax:

1366305054 — LATANYA GREENE
Practice Location Address:

1433 PLUMSTEAD RD
CHARLOTTE, NC
28216-3535

Practice Phone: 704-877-7573
Practice Fax:

1992668685 — LAKESHA TAYLOR RN, BSN, CCM
Practice Location Address:

3000 TINDLE HILL LN
CHARLOTTE, NC
28216-8007

Practice Phone: 980-413-0147
Practice Fax:

1639350770 — OMNI WELLNESS CENTER PLLC
Practice Location Address:

10220 COULOAK DR
CHARLOTTE, NC
28216-7678

Practice Phone: 704-392-9999
Practice Fax: 704-392-9913

1679068464 — DR. DANIELLE PLUMMER DC
Practice Location Address:

10220 COULOAK DR
CHARLOTTE, NC
28216-7678

Practice Phone: 704-392-9999
Practice Fax: 704-392-9913

1811485378 — DR. TYSHIA ALLEN DC
Practice Location Address:

10220 COULOAK DR
CHARLOTTE, NC
28216-7678

Practice Phone: 704-392-9999
Practice Fax: 704-392-9913

Directions to “NORTH CAROLINA CVS PHARMACY, L.L.C. ” 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.