CVS PHARMACY
NPI 1063715480
Health Maintenance Organization in Monroe, NC

Active since December 07, 2010CLIA 34D2283618 · Waiver
2501 W ROOSEVELT BLVD, MONROE, NC 28110(704) 283-1506 Get Directions Write a Review

NPPES record last updated: December 7, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cvs Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY (NPI 1063715480) is a healthcare organization registered as a health maintenance organization in Monroe, North Carolina and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Adriane Waldron, Pharmd Rph, as its authorized official.

NPPES Registry Identity

NPI1063715480
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameCVS PHARMACY
Location Address2501 W ROOSEVELT BLVDMonroe, NC 28110-0418
Mailing Address3919 Mountain DrMonroe, NC 28112-8147 · (704) 242-0838
Organization SubpartNo
Authorized OfficialAdriane WaldronPharmd Rph · (704) 289-2034
Enumeration DateDecember 7, 2010
NPI 1063715480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
Definition

(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

2501 W ROOSEVELT BLVD, Monroe, NC 28110

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2283618
Facility Type
Pharmacy
Certificate Effective Date
June 09, 2025
Certificate Expiration Date
June 08, 2027
Laboratory Director
TIFFANY THOMAS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cvs Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Pharmacy
2501 W ROOSEVELT BLVD
MONROE, NC 28110
Pharmacist
2501 W ROOSEVELT BLVD
MONROE, NC 28110
Pharmacist
2501 W ROOSEVELT BLVD
MONROE, NC 28110
Pharmacist
2501 W ROOSEVELT BLVD
MONROE, NC 28110
Pharmacy (Community/Retail Pharmacy)
2501 W ROOSEVELT BLVD
MONROE, NC 28110
Pharmacist
2501 W ROOSEVELT BLVD
MONROE, NC 28110
Pharmacist
2501 W ROOSEVELT BLVD
MONROE, NC 28110
Pharmacist
2501 W ROOSEVELT BLVD
MONROE, NC 28110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063715480, enumerated as an "organization" on December 07, 2010.

The provider is located at 2501 W ROOSEVELT BLVD MONROE, NC 28110 and the phone number is (704) 283-1506.

Health Maintenance Organization with taxonomy code 302R00000X.