CVS PHARMACY #03822 (NORTH CAROLINA CVS PHARMACY LLC) NPI 1609979467

Pharmacy in Wilmington, NC

NPI 1609979467 Organization Pharmacy Medicare Supplier Does Not Accept Medicare Approved Payment

About CVS PHARMACY #03822 (NORTH CAROLINA CVS PHARMACY LLC)

Cvs Pharmacy #03822 (north Carolina Cvs Pharmacy Llc) is a provider established in Wilmington, North Carolina specializing in pharmacy. The NPI number of Cvs Pharmacy #03822 (north Carolina Cvs Pharmacy Llc) is 1609979467 and was assigned on September 2006. The practitioner's primary taxonomy code is 333600000X with license number 6812 (NC). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Cvs Pharmacy #03822. The authorized official of this NPI record is Susan F Colbert (Director, Payer Relations)

Cvs Pharmacy #03822 is a medicare supplier with PTAN 5640830234 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Enteral Equipment and/or Supplies or Immunosuppressive Drugs or Commodes, Urinals, Bedpans or Heat & Cold Applications or Canes and/or Crutches or Oral Antiemetic Drugs or Ostomy Supplies or Blood Glucose Monitors/Supplies (Mail Order) or Parenteral Nutrients or Oral Anticancer Drugs or Walkers or Blood Glucose Monitors/Supplies (Non-Mail Order) or Enteral Nutrients or Nebulizer Equipment and/or Supplies or Surgical Dressings or Urological Supplies or Nebulizer Drugs or Parenteral Equipment and/or Supplies.

NPI

1609979467

Provider NameCVS PHARMACY #03822 (NORTH CAROLINA CVS PHARMACY LLC)
Provider Location Address1712 EASTWOOD RD WILMINGTON, NC 28403
Provider Mailing Address1 CVS DR PO BOX 1075 WOONSOCKET, RI 02895
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCVS PHARMACY #03822
Other Name TypeDoing Business As (3)
Enumeration Date09-07-2006
Last Update Date06-10-2011


Primary Taxonomy

Taxonomy Code333600000X
ClassificationPharmacy
TypeSuppliers
License No.6812
License StateNC
Taxonomy DescriptionA 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.

Business Address

CVS PHARMACY #03822
1712 EASTWOOD RD
WILMINGTON, NC
ZIP 28403
Phone: (336) 256-3761

Get Directions


Mailing Address

CVS PHARMACY #03822
1 CVS DR
PO BOX 1075
WOONSOCKET, RI
ZIP 02895
Phone: (401) 765-1500



Authorized Official

Authorized Official Name SUSAN F COLBERT
Authorized Official TitleDIRECTOR, PAYER RELATIONS
Authorized Official Phone(401) 770-2751

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN5640830234
Accepts Medicare AssignmentNO
Specialities ListPharmacy.
Supplies List
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Parenteral Nutrients - Parenteral nutrient solutions
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Enteral Nutrients - Enteral formula
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Urological Supplies - Catheters, Urinary collection devices
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Parenteral Equipment and/or Supplies - Parenteral infusion pumps, parenteral nutrition supply kits
Competitive BiddingNO

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

23336C0003XSuppliersPharmacyCommunity/Retail PharmacyNo

Taxonomy Description: 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2801239MEDICARE PIN (08)
3402675OTHER (01)
5640830234MEDICARE NSC (07)

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598073934MR. JAMES ROBERT LECROY RPH
Individual
Pharmacist1712 EASTWOOD RD
WILMINGTON, NC 28403
(910) 256-3761
1780972653MRS. KAREN K FLOYD
Individual
Pharmacist1712 EASTWOOD RD
WILMINGTON, NC 28403
(910) 256-3761
1457635484 EDMUND M WELLONS RPH
Individual
Pharmacist1712 EASTWOOD RD
WILMINGTON, NC 28403
(910) 256-3761
1083023378CVS/PHARMACY
Organization
Pharmacy (Community/Retail Pharmacy)1712 EASTWOOD RD
WILMINGTON, NC 28403
(910) 256-3761
1821553660 ALESSANDRA BREGGIA
Individual
Pharmacist1712 EASTWOOD RD
WILMINGTON, NC 28403
(910) 256-3761
1760079461 HANNAH SHARPE PHARMD
Individual
Pharmacist1712 EASTWOOD RD
WILMINGTON, NC 28403
(910) 256-3761
1003404211 JAMES THOMAS COWART RPH
Individual
Pharmacist1712 EASTWOOD RD
WILMINGTON, NC 28403
(910) 256-3761
1114515228 ELLEN ANN SPOSA MORIN RN
Individual
Registered Nurse1712 EASTWOOD RD
WILMINGTON, NC 28403
(540) 905-9190
1245829977 KATHLEEN JO STONE RPH
Individual
Pharmacist1712 EASTWOOD RD
WILMINGTON, NC 28403
(910) 256-3761
1023298502MRS. LINDA BLACKBURN RPH
Individual
Pharmacist1712 EASTWOOD RD
WILMINGTON, NC 28403
(910) 256-3761

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.