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PENNSYLVANIA CVS PHARMACY L.L.C. NPI 1053415802


NPI Information

NPI: 1053415802
Provider Name: PENNSYLVANIA CVS PHARMACY, L.L.C.

Doing Business As: CVS PHARMACY #02002

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
239 FOX RUN LANE
E STROUDSBURG, PA
ZIP 18302
Phone: (570) 223-6893
Get Directions

PENNSYLVANIA CVS PHARMACY, L.L.C. is a pharmacy in E Stroudsburg, PA. 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. PENNSYLVANIA CVS PHARMACY, L.L.C. NPI is 1053415802. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #02002.

The provider's business location address is:

239 FOX RUN LANE
E STROUDSBURG, PA
ZIP 18302-120
Phone: (570) 223-6893

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 9/12/2006 and was last updated on 2/23/2015.


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
3333600000XPharmacyPP415044LPENNSYLVANIAYes

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
13970123OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
25619370030MEDICARE NSCPENNSYLVANIA
3120568MEDICARE PIN
4P00979144MEDICARE PINPENNSYLVANIA

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.