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CVS PHARMACY # 04426
NPI 1336242890
Pharmacy in East Point, GA

Active since September 07, 2006
1043 CLEVELAND AVE, EAST POINT, GA 30344(404) 767-2034 Get Directions Write a Review

NPPES record last updated: September 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy # 04426 NPPES

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

CVS PHARMACY # 04426 (NPI 1336242890) is a healthcare organization registered as a pharmacy in East Point, Georgia and active in the NPI registry since September 2006. The organization lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1336242890
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGEORGIA CVS PHARMACY LLC
Location Address1043 CLEVELAND AVEEast Point, GA 30344-6719
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(404) 767-2034
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 7, 2006
Last NPPES UpdateSeptember 8, 2011
✔ NPI 1336242890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in GA · 007838
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
1043 CLEVELAND AVE, East Point, GA 30344
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Other Names 1

Doing Business AsCvs Pharmacy # 04426

Other Identifiers 4

Medicare PIN202G738984GA
Medicaid000646841AGA
Other1141352Other Id Number-commercial Number
Medicare NSC5754010181

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 Georgia CVS Pharmacy LLC's NPI number?

The NPI number for Georgia CVS Pharmacy LLC is 1336242890. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as CVS Pharmacy # 04426.

Where is Georgia CVS Pharmacy LLC located?

Georgia CVS Pharmacy LLC is located at 1043 Cleveland Ave, East Point, GA 30344. The listed phone number is (404) 767-2034.

What is Georgia 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 Georgia CVS Pharmacy LLC was last updated on September 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.