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IOWA CVS PHARMACY LLC NPI 1477575116


NPI Information

NPI: 1477575116
Provider Name: IOWA CVS PHARMACY LLC

Doing Business As: CVS PHARMACY #16897

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 16D2224066

Address:
3400 EDGEWOOD RD SW
CEDAR RAPIDS, IA
ZIP 52404
Phone: (319) 396-4777
Get Directions

IOWA CVS PHARMACY LLC is a pharmacy in Cedar Rapids, IA. 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. IOWA CVS PHARMACY LLC NPI is 1477575116. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #16897.

The provider's business location address is:

3400 EDGEWOOD RD SW
CEDAR RAPIDS, IA
ZIP 52404-214
Phone: (319) 396-4777
Fax: (319) 396-4777

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 CLIA number assigned to this NPI record is 16D2224066 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 10/19/2016.


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
13336C0003XPharmacyCommunity/Retail Pharmacy1135IOWANo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
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
15717290039MEDICARE NSC
22029997OTHERPK

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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