Provider Type Icon

CVS STATE CAPITAL L.L.C. NPI 1588811699


NPI Information

NPI: 1588811699
Provider Name: CVS STATE CAPITAL, L.L.C.

Doing Business As: CVS PHARMAACY #00959

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 20D2225269

Address:
11 STEEPLE WAY
WELLS, ME
ZIP 04090
Phone: (207) 641-0860
Get Directions

CVS STATE CAPITAL, L.L.C. is a pharmacy in Wells, ME. 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 STATE CAPITAL, L.L.C. NPI is 1588811699. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmaacy #00959.

The provider's business location address is:

11 STEEPLE WAY
WELLS, ME
ZIP 04090
Phone: (207) 641-0860

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

The CLIA number assigned to this NPI record is 20D2225269 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2008 and was last updated on 10/7/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1157010002MEDICAIDMAINE
20506640018MEDICARE NSC
32008250OTHERNCPDP
40015942MEDICARE PIN
5P00959033MEDICARE PIN

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: 5/5/2024

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.