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GEORGIA CVS PHARMACY LLC NPI 1093818452


NPI Information

NPI: 1093818452
Provider Name: GEORGIA CVS PHARMACY LLC

Doing Business As: CVS PHARMACY # 04230

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
150 JOHNNY MERCER BLVD
SAVANNAH, GA
ZIP 31410
Phone: (912) 897-3220
Get Directions

GEORGIA CVS PHARMACY LLC is a pharmacy in Savannah, GA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GEORGIA CVS PHARMACY LLC NPI is 1093818452. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 04230.

The provider's business location address is:

150 JOHNNY MERCER BLVD
SAVANNAH, GA
ZIP 31410-102
Phone: (912) 897-3220

The provider's authorized official is Susan Colbert .
The authorized official title is Director, Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 10/21/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesGEORGIANo
3333600000XPharmacy004944GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000133592AMEDICAIDGEORGIA
21101156OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
3P00962782MEDICARE PINGEORGIA
45754010242MEDICARE NSC
5202G738984MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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