MEDICARE: PENNSYLVANIA CVS PHARMACY LLC

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	PP481550	PA
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2087672	OTHER		PK

General Provider Information

NPI Number	:	1932121670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PENNSYLVANIA CVS PHARMACY LLC

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	:	8931 ROUTE 30
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642-2704
Country	:	US
Telephone Number	:	724-863-5398
Fax Number	:	724-863-5398

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	11/30/2016

Similar Medicare Providers

1972619351 — DR. BRET ABRAHAM ROSENBLUM MD
Practice Location Address:

8945 STATE ROUTE 30
N HUNTINGDON, PA
15642-2704

Practice Phone: 724-861-8099
Practice Fax:

1376876037 — DR. CARLY RUDICK PHARM D.
Practice Location Address:

8931 ROUTE 30
NORTH HUNTINGDON, PA
15642-2704

Practice Phone: 724-863-5398
Practice Fax: 724-863-5398

1346568458 — KENNETH FREDRICK BROBECK PHARMACIST
Practice Location Address:

8901 STATE ROUTE 30
NORTH HUNTINGDON, PA
15642-2704

Practice Phone: 724-864-7481
Practice Fax:

1467710376 — MRS. TIA NICOLE WADE MBA, RD, LDN
Practice Location Address:

8901 ROUTE 30
NORTH HUNTINGDON, PA
15642-2704

Practice Phone: 724-864-0100
Practice Fax:

1770838328 — UNIVERSITY OF PITTSBURGH PHYSICIANS
Practice Location Address:

8945 ROUTE 30
NORTH HUNTINGDON, PA
15642-2704

Practice Phone: 724-861-8099
Practice Fax:

1699146613 — SARAH FENNEL
Practice Location Address:

8945 ROUTE 30
NORTH HUNTINGDON, PA
15642-2704

Practice Phone: 724-861-8099
Practice Fax:

Directions to “PENNSYLVANIA 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.