MEDICARE: TENNESSEE CVS PHARMACY LLC

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 State	Provider Identifier Issuer
1	Q015354	OTHER	TN	DME
2	4446844	OTHER		NCPDP

General Provider Information

NPI Number	:	1750781894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENNESSEE CVS PHARMACY LLC

Provider Business Mailing Address
First Line	:	1 CVS DR
Second Line	:	BOX 1075 PHARMACY ENROLLMENTS
City	:	WOONSOCKET
State	:	RI
Zip	:	02895-6146
Country	:	US
Telephone Number	:	401-765-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1119 MINERAL WELLS AVE
Second Line	:
City	:	PARIS
State	:	TN
Zip	:	38242-4903
Country	:	US
Telephone Number	:	731-642-4092
Fax Number	:

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

Provider Enumeration Date	:	08/26/2014
Last Update Date	:	01/19/2023

Similar Medicare Providers

1629378773 — SHAWN SAMEIRO RPH., LAC.
Practice Location Address:

1119 MINERAL WELLS AVE
PARIS, TN
38242-4903

Practice Phone: 731-642-4092
Practice Fax:

1114520509 — DANNY TURNER DPH
Practice Location Address:

1119 MINERAL WELLS AVE
PARIS, TN
38242-4903

Practice Phone: 731-642-4092
Practice Fax:

1962130849 — BRANDON WEED
Practice Location Address:

1119 MINERAL WELLS AVE
PARIS, TN
38242-4903

Practice Phone: 731-642-4092
Practice Fax:

1245182393 — FIONA MUIR
Practice Location Address:

302 TYSON AVE STE B
PARIS, TN
38242-4555

Practice Phone: 731-407-7650
Practice Fax:

1659522936 — LINDSAY A FOWLER PT
Practice Location Address:

1015 KELLEY DR
PARIS, TN
38242-5819

Practice Phone: 731-642-2411
Practice Fax: 731-967-5520

1154012771 — MRS. SYDNEY SNIDER BRASELTON CCC-SLP
Practice Location Address:

1015 KELLEY DR
PARIS, TN
38242-5819

Practice Phone: 731-642-2411
Practice Fax: 731-642-9447

Directions to “TENNESSEE CVS PHARMACY LLC ” 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.