CVS/PHARMACY
NPI 1396197711
Pharmacy - Community/Retail Pharmacy in Jacksonville, NC

Active since July 09, 2016CLIA 34D2258947 · Waiver
1395D WESTERN BLVD, JACKSONVILLE, NC 28546(910) 937-6639(910) 238-3313 Get Directions Write a Review

NPPES record last updated: July 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cvs/pharmacy NPPES

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

CVS/PHARMACY (NPI 1396197711) is a healthcare organization registered as a community/retail pharmacy in Jacksonville, North Carolina and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Zachary Cenfetelli, Pharmacy Supervisor, as its authorized official.

NPPES Registry Identity

NPI1396197711
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCVS/PHARMACY
Location Address1395D WESTERN BLVDJacksonville, NC 28546-6663
Mailing Address1395d Western BlvdJacksonville, NC 28546-6663 · (910) 937-6639 · Fax (910) 238-3313
Fax(910) 238-3313
Organization SubpartNo
Authorized OfficialZachary CenfetelliPharmacy Supervisor · (919) 599-6921
Enumeration DateJuly 9, 2016
NPI 1396197711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NC · 26174
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.
1395D WESTERN BLVD, Jacksonville, NC 28546

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 34D2258947

North Carolina CVS Pharmacy, LLC, Dba Cvs/Pharmacy #05585 · Jacksonville, NC
Active · expires Apr 28, 2028
CLIA Number34D2258947
Laboratory TypePharmacy
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorAlexis Brown
Laboratory Phone(866) 389-2727
Laboratory LocationNorth Carolina CVS Pharmacy, LLC, Dba Cvs/Pharmacy #05585400 Western Boulevard, Jacksonville, NC 28546
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 7

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

Pharmacist
1395D WESTERN BLVD
JACKSONVILLE, NC 28546
Pharmacist
1395D WESTERN BLVD
JACKSONVILLE, NC 28546
Pharmacist
1395D WESTERN BLVD, T-1226
JACKSONVILLE, NC 28546
Pharmacist
1395D WESTERN BLVD
JACKSONVILLE, NC 28546
Pharmacy
1395D WESTERN BLVD
JACKSONVILLE, NC 28546
Pharmacist
1395D WESTERN BLVD
JACKSONVILLE, NC 28546
Pharmacist
1395D WESTERN BLVD
JACKSONVILLE, NC 28546

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 1396197711. It was assigned to this organization in the NPPES registry on July 9, 2016.

Where is Cvs/Pharmacy located?

Cvs/Pharmacy is located at 1395D Western Blvd, Jacksonville, NC 28546. The listed phone number is (910) 937-6639.

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 34D2258947) is associated with this NPI, valid through April 28, 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 July 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.