PENNSYLVANIA CVS PHARMACY LLC NPI 1790105104

NPI Details

PENNSYLVANIA CVS PHARMACY, LLC 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, LLC NPI is 1790105104. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 02170.

The provider's business location address is:

3331 GRANT AVE
PHILADELPHIA, PA
ZIP 19114-629
Phone: (215) 464-2636

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

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
• Pneumococcal vaccine, 23-valent (HCPCS:90732)
• Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 4/24/2014 and was last updated on 3/11/2015.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.