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CVS STATE CAPITAL LLC NPI 1407950322


NPI Information

NPI: 1407950322
Provider Name: CVS STATE CAPITAL LLC

Doing Business As: CVS PHARMACY 00805

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 20D2225275

Address:
335 OCEAN HOUSE RD
CAPE ELIZABETH, ME
ZIP 04107
Phone: (207) 799-1113
Get Directions

CVS STATE CAPITAL LLC is a pharmacy in Cape Elizabeth, ME. 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. CVS STATE CAPITAL LLC NPI is 1407950322. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy 00805.

The provider's business location address is:

335 OCEAN HOUSE RD
CAPE ELIZABETH, ME
ZIP 04107-441
Phone: (207) 799-1113

The provider's authorized official is Susan Colbert .
The authorized official title is Director and has the following contact phone number (401) 765-1500.

The CLIA number assigned to this NPI record is 20D2225275 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 10/7/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyPH50000108MAINEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00959033MEDICARE PIN
22003731OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
30506640004MEDICARE NSC
40015942MEDICARE PIN

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.