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PENNSYLVANIA CVS PHARMACY L.L.C NPI 1487190757


NPI Information

NPI: 1487190757
Provider Name: PENNSYLVANIA CVS PHARMACY, L.L.C

Doing Business As: CVS PHARMACY #17696

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 39D2103084

Address:
7162 RIDGE AVE
PHILADELPHIA, PA
ZIP 19128
Phone: (215) 483-2124
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PENNSYLVANIA CVS PHARMACY, L.L.C is a pharmacy in Philadelphia, 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 1487190757. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy #17696.

The provider's business location address is:

7162 RIDGE AVE
PHILADELPHIA, PA
ZIP 19128-250
Phone: (215) 483-2124

The provider's authorized official is Susan Colbert .
The authorized official title is Sr. Dr. Payer Relations and has the following contact phone number (401) 765-1500.

The CLIA number assigned to this NPI record is 39D2103084 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2017 and was last updated on 5/3/2017.


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 PharmacyNo
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
1168230MEDICARE PINPENNSYLVANIA
21015538870529MEDICAIDPENNSYLVANIA
35619370477MEDICARE NSCPENNSYLVANIA
46004826OTHERPENNSYLVANIANCPDP

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

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.