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NORTH CAROLINA CVS PHARMACY LLC NPI 1184930372


NPI Information

NPI: 1184930372
Provider Name: NORTH CAROLINA CVS PHARMACY LLC

Doing Business As: CVS PHARMACY #01944

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 34D2283539

Address:
606 COLISEUM DR
WINSTON-SALEM, NC
ZIP 27106
Phone: (336) 727-8680
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NORTH CAROLINA CVS PHARMACY LLC is a pharmacy in Winston-salem, NC. 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. NORTH CAROLINA CVS PHARMACY LLC NPI is 1184930372. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #01944.

The provider's business location address is:

606 COLISEUM DR
WINSTON-SALEM, NC
ZIP 27106-311
Phone: (336) 727-8680

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

The CLIA number assigned to this NPI record is 34D2283539 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2010 and was last updated on 5/24/2013.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyYes

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
10347807MEDICAIDNORTH CAROLINA
22801239MEDICARE PIN
33421257OTHERNORTH CAROLINANCPDP
47705225OTHERNORTH CAROLINAMEDICAID DME
55640830076MEDICARE NSCNORTH CAROLINA

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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