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NEW JERSEY CVS PHARMACY LLC
NPI 1073479259
Pharmacy in Jersey City, NJ

Active since December 31, 2025
104 SIP AVE, JERSEY CITY, NJ 07306(201) 748-0002 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2026, Dec 31, 2025 (2 updates tracked since 2025).

About New Jersey Cvs Pharmacy Llc NPPES

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

NEW JERSEY CVS PHARMACY LLC (NPI 1073479259), doing business as Cvs Pharmacy #17919, is a healthcare organization registered as a pharmacy in Jersey City, New Jersey and active in the NPI registry since December 2025. The organization lists Susan F Colbert, Sr. Director, as its authorized official.

NPPES Registry Identity

NPI1073479259
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameNEW JERSEY CVS PHARMACY LLC
Location Address104 SIP AVEJersey City, NJ 07306-4240
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(201) 748-0002
Organization SubpartNo
Authorized OfficialSusan F ColbertSr. Director · (401) 765-1500
Enumeration DateDecember 31, 2025
Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1073479259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
104 SIP AVE, Jersey City, NJ 07306
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Other Names 1

Doing Business AsCvs Pharmacy #17919

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 New Jersey CVS Pharmacy LLC's NPI number?

The NPI number for New Jersey CVS Pharmacy LLC is 1073479259. It was assigned to this organization in the NPPES registry on December 31, 2025. The provider is doing business as CVS Pharmacy #17919.

Where is New Jersey CVS Pharmacy LLC located?

New Jersey CVS Pharmacy LLC is located at 104 Sip Ave, Jersey City, NJ 07306. The listed phone number is (201) 748-0002.

What is New Jersey CVS Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for New Jersey CVS Pharmacy LLC was last updated on January 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.