MEDICARE: CVS PHARMACY INC

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	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy	24879	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4570063	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1215031018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CVS PHARMACY INC

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	:	5401 WASHINGTON AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-5131
Country	:	US
Telephone Number	:	713-861-3883
Fax Number	:	713-863-7160

Authorized Official
Title or Position	:	MGR PHCY ENROLLMENTS
Name	:	CRISTIANA MAURICIO
Credential	:
Telephone Number	:	401-770-2937

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	03/06/2015

Similar Medicare Providers

1265027189 — PAULNEIL MANGILA GARCIA PHARMD
Practice Location Address:

5401 WASHINGTON AVE
HOUSTON, TX
77007-5131

Practice Phone: 713-861-3883
Practice Fax: 713-863-7160

1396468906 — COURTNEY TRUSCOTT
Practice Location Address:

5401 WASHINGTON AVE
HOUSTON, TX
77007-5131

Practice Phone: 713-884-4040
Practice Fax:

1295971893 — NGUYEN-OGHALAI RHEUMATOLOGY, PA
Practice Location Address:

12924 BELLAIRE BLVD , SUITE 100
HOUSTON, TX
77072-5131

Practice Phone: 713-202-8217
Practice Fax: 713-457-4200

1912133216 — BM PHARMACY INC
Practice Location Address:

12924 BELLAIRE BLVD
HOUSTON, TX
77072-5131

Practice Phone: 713-457-3600
Practice Fax: 281-921-1311

1821328949 — JOUVONNA LYNETTE GRAY FNP
Practice Location Address:

19020 W LAKE HOUSTON PKWY
HUMBLE, TX
77346-5131

Practice Phone: 281-812-3736
Practice Fax: 844-781-2056

1447774708 — GET WELL HEALTHCARE SERVICES
Practice Location Address:

19020 W LAKE HOUSTON PKWY
HUMBLE, TX
77346-5131

Practice Phone: 281-812-3736
Practice Fax: 844-781-2056

Directions to “CVS PHARMACY INC ” 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.