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CVS PHARMACY INC. NPI 1366789331


NPI Information

NPI: 1366789331
Provider Name: CVS PHARMACY INC.

Doing Business As: CVS PHARMACY #17650

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2120 LOUISIANA BLVD NE
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 200-3235
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CVS PHARMACY INC. is a pharmacy in Albuquerque, NM. 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. CVS PHARMACY INC. NPI is 1366789331. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #17650.

The provider's business location address is:

2120 LOUISIANA BLVD NE
ALBUQUERQUE, NM
ZIP 87110-402
Phone: (505) 200-3235
Fax: (505) 200-3245

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

The enumeration date for this NPI number is 1/11/2013 and was last updated on 12/22/2016.


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
2333600000XPharmacyYes
33336C0003XPharmacyCommunity/Retail PharmacyPH00004179NEW MEXICONo

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
12138371OTHERPK
269671885MEDICAIDNEW MEXICO
31284731151MEDICARE NSC
405371741OTHERNM MEDICAID (DME)

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

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