CVS PHARMACY #06084 – NPI #1386747095
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 #06084 is a pharmacy located in OXFORD, OH. NPPES has assigned the NPI number 1386747095 to CVS PHARMACY #06084 on September 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CVS PHARMACY #06084” is a dba name, the actual legal business name for this organization is OHIO CVS STORES 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 16 years ago on Dec 02, 2010. 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 #06084 below.

NPI Profile for
OHIO CVS STORES LLC

NPI Number
1386747095
Enumeration Date

(about 20 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
OHIO CVS STORES LLC
Doing Business As (dba): CVS PHARMACY #06084
Primary location
123 W SPRING ST
OXFORD, OH 45056
Phone: (513) 523-6378 Fax:
Mailing address
1 CVS DR
PO BOX 1075
WOONSOCKET, RI 02895-6146
Phone: Fax:
Organization Subpart
No
Authorized Official
SUSAN COLBERT
DIRECTOR, MANAGED CARE ADMIN
Phone: (401) 770-2751
Updated
Identifiers

Identifiers for CVS PHARMACY #06084

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
OTHEROTHER ID NUMBER-COMMERCIAL NUMBER3603998
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.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)
OH 02-484950
3336C0003X
- Pharmacy / Community/Retail Pharmacy
332B00000X
- Durable Medical Equipment & Medical Supplies

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.