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OHIO CVS STORES LLC NPI 1912000639


NPI Information

NPI: 1912000639
Provider Name: OHIO CVS STORES LLC

Doing Business As: CVS PHARMACY #03402

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 36D2279432

Address:
115 N COLLEGE ST
PIQUA, OH
ZIP 45356
Phone: (937) 773-3784
Get Directions

OHIO CVS STORES LLC is a pharmacy in Piqua, OH. 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. OHIO CVS STORES LLC NPI is 1912000639. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #03402.

The provider's business location address is:

115 N COLLEGE ST
PIQUA, OH
ZIP 45356-907
Phone: (937) 773-3784

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 36D2279432 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 10/25/2011.


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 SuppliesNo
3333600000XPharmacy2134400OHIOYes

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
13607097OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
25660250265MEDICARE NSC
30192590MEDICAIDOHIO
4P00962194MEDICARE PIN
5FV96411MEDICARE 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: 4/28/2024

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