CVS PHARMACY #48331 – NPI #1710054051
Pharmacy

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CVS PHARMACY #48331 is a pharmacy located in GLEN MILLS, PA. NPPES has assigned the NPI number 1710054051 to CVS PHARMACY #48331 on November 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CVS PHARMACY #48331” is a dba name, the actual legal business name for this organization is MAIN STREET PHARMACY, LLC. The primary taxonomy selected by this provider is 3336L0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Long Term Care Pharmacy

The NPI profile was previously updated about 7 years ago on Mar 07, 2019. 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 #48331 below.

NPI Profile for
MAIN STREET PHARMACY, LLC

NPI Number
1710054051
Enumeration Date

(more than 19 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
MAIN STREET PHARMACY, LLC
Doing Business As (dba): CVS PHARMACY #48331
Primary location
100 MARIS GROVE WAY
GLEN MILLS, PA 19342
Phone: (610) 387-4540 Fax: (610) 358-0243
Mailing address
1 CVS DR
BOX 1075
WOONSOCKET, RI 02895-6146
Phone: (401) 765-1500 Fax:
Organization Subpart
No
Authorized Official
SUSAN COLBERT
SR. DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751
Updated
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
3336L0003X
- Pharmacy / Long Term Care Pharmacy (Primary)

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.