CVS PHARMACY #07555 – NPI #1154590628
Pharmacy

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 PHARMACY #07555 is a pharmacy located in RALEIGH, NC. NPPES has assigned the NPI number 1154590628 to CVS PHARMACY #07555 on February 28, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CVS PHARMACY #07555” is a dba name, the actual legal business name for this organization is NORTH CAROLINA CVS PHARMACY, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 14 years ago on Mar 05, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CVS PHARMACY #07555 below.

NPI Profile for
NORTH CAROLINA CVS PHARMACY, LLC

NPI Number
1154590628
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTH CAROLINA CVS PHARMACY, LLC
Doing Business As (dba): CVS PHARMACY #07555
Primary location
2902 FORESTVILLE RD.
RALEIGH, NC 27616
Phone: (919) 266-6418 Fax:
Mailing address
1 CVS DR
BOX 1075- PHARMACY ENROLLMENTS
WOONSOCKET, RI 02895-6146
Phone: (401) 765-1500 Fax: (401) 770-7108
Organization Subpart
No
Authorized Official
SUSAN COLBERT
DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751
Updated
Identifiers

Identifiers for CVS PHARMACY #07555

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNCPDPNC3410418
MEDICAIDNC7704891 DME
MEDICAIDNC0920223 RX
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.