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NORTH CAROLINA CVS PHARMACY LLC NPI 1336242973


NPI Information

NPI: 1336242973
Provider Name: NORTH CAROLINA CVS PHARMACY LLC

Doing Business As: CVS PHARMACY #07681

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 34D2221770

Address:
10478 N NC HIGHWAY 109 STE 105
WINSTON SALEM, NC
ZIP 27107
Phone: (336) 769-0872
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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 1336242973. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #07681.

The provider's business location address is:

10478 N NC HIGHWAY 109 STE 105
WINSTON SALEM, NC
ZIP 27107-634
Phone: (336) 769-0872

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 34D2221770 - 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 12/30/2021.


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
2333600000XPharmacy6949NORTH CAROLINAYes
33336C0003XPharmacyCommunity/Retail PharmacyNo

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
13434723OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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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