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GEORGIA CVS PHARMACY LLC NPI 1407040413


NPI Information

NPI: 1407040413
Provider Name: GEORGIA CVS PHARMACY LLC

Doing Business As: CVS PHARMACY #16468

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
235 ROBERT C DANIEL JR PKWY
AUGUSTA, GA
ZIP 30909
Phone: (706) 667-6368
Get Directions

GEORGIA CVS PHARMACY LLC is a pharmacy in Augusta, GA. 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. GEORGIA CVS PHARMACY LLC NPI is 1407040413. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #16468.

The provider's business location address is:

235 ROBERT C DANIEL JR PKWY
AUGUSTA, GA
ZIP 30909-800
Phone: (706) 667-6368
Fax: (706) 619-3203

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 9/2/2007 and was last updated on 10/12/2016.


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
23336C0003XPharmacyCommunity/Retail PharmacyPHRE010212GEORGIANo
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
12016672OTHERPK
25754010325MEDICARE NSC

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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