CVS PHARMACY #04743 – NPI #1902176142
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 #04743 is a pharmacy located in SHREVEPORT, LA. NPPES has assigned the NPI number 1902176142 to CVS PHARMACY #04743 on January 05, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CVS PHARMACY #04743” is a dba name, the actual legal business name for this organization is LOUISIANA 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 3 years ago on Mar 07, 2023. 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 #04743 below.
NPI Profile for
LOUISIANA CVS PHARMACY LLC
(more than 14 years ago)
SHREVEPORT, LA 71106-7406 Phone: (318) 797-3272 Fax:
BOX 1075 - PHARMACY ENROLLMENTS
WOONSOCKET, RI 02895-6146 Phone: (401) 765-1500 Fax:
DIRECTOR PAYER RELATIONS
Phone: (401) 770-2751
Identifiers for CVS PHARMACY #04743
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | NCPDP | 1936016 | |
| other | PHARMACY STATE LICENSE | LA | PHY006485RC |
| medicaid | LA | 2201271 |
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) |
||
| 3336C0003X - Pharmacy / Community/Retail Pharmacy |
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| 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.