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NPI Code Detail

MEDICARE: CVS PHARMACY INC

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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy
3333600000XPharmacyDS90038MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22245175OTHERNCPDP

General Provider Information

NPI Number : 1740649029
Entity Type Code : Organization
Provider Name (Legal Business Name) : CVS PHARMACY INC
Provider Business Mailing Address
First Line : 1 CVS DR
Second Line : 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 : 655 MOUNT AUBURN ST
Second Line :
City : WATERTOWN
State : MA
Zip : 02472-2017
Country : US
Telephone Number : 617-744-0842
Fax Number :
Authorized Official
Title or Position : SR DIRECTOR PAYER RELATIONS
Name : SUSAN COLBERT
Credential :
Telephone Number : 401-770-2751
Provider Enumeration Date : 02/16/2016
Last Update Date : 04/28/2017

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