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CVS PHARMACY
NPI 1063947570
Pharmacy - Community/Retail Pharmacy in Oakland, CA

Active since April 23, 2017CLIA 05D2351422 · Waiver
2609 IVY DR, APT 16, OAKLAND, CA 94606(808) 256-8510 Get Directions Write a Review

NPPES record last updated: April 23, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Cvs Pharmacy NPPES

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

CVS PHARMACY (NPI 1063947570) is a healthcare organization registered as a community/retail pharmacy in Oakland, California and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through September 24, 2028 and lists Edwina Yin Ching Leung, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1063947570
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCVS PHARMACY
Location Address2609 IVY DR, APT 16Oakland, CA 94606-2192
Mailing Address2609 Ivy Dr, Apt 16Oakland, CA 94606-2192 · (808) 256-8510
Phone(808) 256-8510
Organization SubpartNo
Authorized OfficialEdwina Yin Ching LeungPharmacist · (808) 256-8510
Enumeration DateApril 23, 2017
✔ NPI 1063947570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Licenses✔ Licensed in CA · 74633✔ Licensed in HI · 74633
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
2609 IVY DR, Oakland, CA 94606
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2351422

Cvs/Pharmacy #11628 · Oakland, CA
Active · expires Sep 24, 2028
CLIA Number05D2351422
Laboratory TypePharmacy
Certificate Effective DateSeptember 25, 2026
Certificate Expiration DateSeptember 24, 2028
Laboratory DirectorNora Faransso
Laboratory Phone(510) 992-5285
Laboratory LocationCvs/Pharmacy #11628950 Market St, Oakland, CA 94607
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. AMINA A SULAIMAN L.M.T, N.D
Midwife, Lay
2609 IVY DR, SUITE # 9
OAKLAND, CA 94606
Alameda County (510) 978-8080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is CVS Pharmacy's NPI number?

The NPI number for CVS Pharmacy is 1063947570. It was assigned to this organization in the NPPES registry on April 23, 2017.

Where is CVS Pharmacy located?

CVS Pharmacy is located at 2609 Ivy Dr Apt 16, Oakland, CA 94606. The listed phone number is (808) 256-8510.

What is CVS Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does CVS Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2351422) is associated with this NPI, valid through September 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for CVS Pharmacy was last updated on April 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.