CVS PHARMACY #07441 – NPI #1740384536
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 #07441 is a pharmacy located in LIBERTY, TX. NPPES has assigned the NPI number 1740384536 to CVS PHARMACY #07441 on September 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CVS PHARMACY #07441” is a dba name, the actual legal business name for this organization is CVS PHARMACY INC. 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 11 years ago on Mar 03, 2015. 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 #07441 below.

NPI Profile for
CVS PHARMACY INC

NPI Number
1740384536
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
CVS PHARMACY INC
Doing Business As (dba): CVS PHARMACY #07441
Primary location
2005 HIGHWAY 90
LIBERTY, TX 77575-5817
Phone: (936) 336-7233 Fax: (936) 334-0239
Mailing address
1 CVS DR
PO BOX 1075
WOONSOCKET, RI 02895-6146
Phone: Fax:
Organization Subpart
No
Authorized Official
CRISTIANA MAURICIO
MGR PHCY ENROLLMENTS
Phone: (401) 770-2937
Updated
Identifiers

Identifiers for CVS PHARMACY #07441

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
OTHERMEDICARE RRTXP00754740
OTHEROTHER ID NUMBER-COMMERCIAL NUMBER4563765
MEDICAIDTX000462043
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)
TX 24739
3336C0003X
- Pharmacy / Community/Retail Pharmacy

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.