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

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

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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

Phone(910) 937-6639

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

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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 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.

MR. KENT TITUS PAINTER RPH

Pharmacist

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

Onslow County (910) 937-6639

MRS. LORI LYNN MAYER RPH

Pharmacist