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	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy	30531	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2118422	OTHER		PK

General Provider Information

NPI Number	:	1932346319
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	:	4760 STATE HIGHWAY 121
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75056-2913
Country	:	US
Telephone Number	:	469-287-0347
Fax Number	:	469-287-0357

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

Provider Enumeration Date	:	01/07/2009
Last Update Date	:	08/25/2016

Similar Medicare Providers

1801898671 — TRAVIS MICHAEL STERLING PT, OCS, CSCS
Practice Location Address:

4770 STATE HIGHWAY 121 STE 130
LEWISVILLE, TX
75056-2913

Practice Phone: 469-830-9030
Practice Fax:

1740203322 — GAIL CHRISTINE SLAUGHTER OTR
Practice Location Address:

4770 STATE HIGHWAY 121 STE 130
LEWISVILLE, TX
75056-2913

Practice Phone: 469-830-9030
Practice Fax:

1841438249 — LUXOTTICA RETAIL NORTH AMERICA INC
Practice Location Address:

4760 SH 121
LEWISVILLE, TX
75056-2913

Practice Phone: 214-469-2481
Practice Fax:

1578859005 — ALICIA VO PHARMD
Practice Location Address:

4760 STATE HIGHWAY 121 , TARGET PHARMACY STORE T-2520
LEWISVILLE, TX
75056-2913

Practice Phone: 469-287-0347
Practice Fax: 469-287-0357

1689961823 — DR. LIEM NGUYEN PHARM D.
Practice Location Address:

4760 STATE HIGHWAY 121 , T-2520
LEWISVILLE, TX
75056-2913

Practice Phone: 469-287-0347
Practice Fax:

1588943583 — LAUREN BIALES PHARM D
Practice Location Address:

4760 STATE HIGHWAY 121 , TARGET 2520
LEWISVILLE, TX
75056-2913

Practice Phone: 469-287-0346
Practice Fax:

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.