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PENNSYLVANIA CVS PHARMACY L.L.C. NPI 1295712065


NPI Information

NPI: 1295712065
Provider Name: PENNSYLVANIA CVS PHARMACY, L.L.C.

Doing Business As: CVS PHARMACY #11421

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 39D0910834

Address:
1216 WEST 6TH ST
ERIE, PA
ZIP 16507
Phone: (814) 844-6265
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PENNSYLVANIA CVS PHARMACY, L.L.C. is a pharmacy in Erie, 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 1295712065. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #11421.

The provider's business location address is:

1216 WEST 6TH ST
ERIE, PA
ZIP 16507-022
Phone: (814) 844-6265
Fax: (814) 459-0237

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

The CLIA number assigned to this NPI record is 39D0910834 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 2/3/2020.


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
1333600000XPharmacyPP410816LPENNSYLVANIAYes

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
1100750747MEDICAIDPENNSYLVANIA

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: 11/14/2023

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.