MEDICARE: GEORGIA 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	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy	006964	GA

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	1134333	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1265535017
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGIA CVS PHARMACY, L.L.C.

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	:	401-765-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1554 N DECATUR RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30307-1016
Country	:	US
Telephone Number	:	404-373-4534
Fax Number	:

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

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	04/21/2022

Similar Medicare Providers

1548864671 — DR. LATASHA STALLWORTH PHARMD
Practice Location Address:

1554 N DECATUR RD NE
ATLANTA, GA
30307-1016

Practice Phone: 404-373-4534
Practice Fax:

1235735275 — TAMMY GUY PHARM D
Practice Location Address:

1554 N DECATUR RD NE
ATLANTA, GA
30307-1016

Practice Phone: 404-373-4534
Practice Fax: 404-377-9323

1821023425 — VICTORIAN MEDICAL SUPPLY, LLC
Practice Location Address:

1016 HOWELL MILL RD NW , #1210
ATLANTA, GA
30318-5559

Practice Phone: 770-843-5380
Practice Fax:

1053409136 — DR. CRAIG TEASDALE DC
Practice Location Address:

1016 PIEDMONT AVENUE
ATLANTA, GA
30309

Practice Phone: 404-876-0400
Practice Fax: 404-876-8231

1891910071 — MS. VICTORIA QUAID WEAVER MS RD LD
Practice Location Address:

1016 PIEDMONT AVE NE
ATLANTA, GA
30309-3702

Practice Phone: 404-875-9919
Practice Fax: 770-442-3210

1316162597 — DR. WILLAIM Z RAMIREZ MD
Practice Location Address:

1016 PIEDMONT AVE NE
ATLANTA, GA
30309-3702

Practice Phone: 404-875-9919
Practice Fax: 770-442-3210

Directions to “GEORGIA 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.