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CVS CLINIC PRIMARY CARE PLLC
NPI 1366206955
Clinic/Center - Multi-Specialty in Swampscott, MA

Active since February 13, 2024CLIA 22D2296040 · Waiver
413 PARADISE RD STE B, SWAMPSCOTT, MA 01907(978) 922-2003 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 26, 2024, May 16, 2024 (2 updates tracked since 2024).

About Cvs Clinic Primary Care Pllc NPPES

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

CVS CLINIC PRIMARY CARE PLLC (NPI 1366206955) is a healthcare organization registered as a multi-specialty in Swampscott, Massachusetts and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists Deborah Pincince, Administrator, as its authorized official.

NPPES Registry Identity

NPI1366206955
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCVS CLINIC PRIMARY CARE PLLC
Location Address413 PARADISE RD STE BSwampscott, MA 01907-1332
Mailing Address1 Cvs DrWoonsocket, RI 02895-6146
Phone(978) 922-2003
Organization SubpartYesParent: Cvs Clinic Pllc
Authorized OfficialDeborah PincinceAdministrator · (401) 770-3813
Enumeration DateFebruary 13, 2024
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1366206955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
413 PARADISE RD STE B, Swampscott, MA 01907
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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 22D2296040

CVS Clinic, PLLC · Swampscott, MA
Active · expires Dec 19, 2027
CLIA Number22D2296040
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorDavid Fairchild
Laboratory Phone(978) 922-2003
Laboratory LocationCVS Clinic, PLLC413 Paradise Road, Suite B, Swampscott, MA 01907
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ARTEM GUTMANOVICH M.D.
Family Medicine
413 PARADISE RD STE B
SWAMPSCOTT, MA 01907
Essex County (781) 678-8144
CVS CLINIC PLLC
Nurse Practitioner (Family)
413 PARADISE RD STE B
SWAMPSCOTT, MA 01907
Essex County (781) 328-6264

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 Clinic Primary Care PLLC's NPI number?

The NPI number for CVS Clinic Primary Care PLLC is 1366206955. It was assigned to this organization in the NPPES registry on February 13, 2024.

Where is CVS Clinic Primary Care PLLC located?

CVS Clinic Primary Care PLLC is located at 413 Paradise Rd Ste B, Swampscott, MA 01907. The listed phone number is (978) 922-2003.

What is CVS Clinic Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does CVS Clinic Primary Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2296040) is associated with this NPI, valid through December 19, 2027. 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 Clinic Primary Care PLLC was last updated on September 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.