- Practice location
- 797 Main St Ste D, Sanford, ME 04073-3536
- Phone
- 207-324-3110
- Fax
- —
- Last updated
- March 6, 2012
CVS State Capital LLC is a healthcare organization based in Sanford, ME. CVS State Capital LLC practices in Sanford, ME. The NPI Number for CVS State Capital LLC is 1053415976 and holds a License No. PH50000902 (ME). The current practice location address for CVS State Capital LLC is 797 Main St Ste D, Sanford, ME 04073-3536 and can be reached out via phone at 207-324-3110.
Provider Profile Details
- NPI Number
- 1053415976
- Provider Name
- CVS State Capital LLC
- Provider Entity Type
- Organization
- Address
- 797 Main St Ste D, Sanford, ME 04073-3536
- Phone Number
- 207-324-3110
- Primary Taxonomy
- Pharmacy · 333600000X
- Organization Subpart
- No
- Authorized Official
- Susan Colbert · Director · 401-765-1500
- Other Names
- CVS Pharmacy 00523 (Doing Business As)
- Provider Enumeration Date
- September 12, 2006
- Last Update Date
- March 6, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 797 Main St Ste D
Sanford, ME 04073-3536 - City
- Sanford
- State
- Maine
- Zip
- 04073-3536
- Phone Number
- 207-324-3110
Provider Business Mailing Address Details
- Address
- 1 CVS Dr
Po Box 1075
Woonsocket, RI 02895-6146 - City
- Woonsocket
- State
- RI
- Zip
- 02895-6146
License Information
- Taxonomy (1)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Taxonomy (2)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (3)
- PH50000902
- License State (3)
- ME
- Taxonomy (3)
- Pharmacy · 333600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of CVS State Capital LLC?
The NPI number of CVS State Capital LLC is 1053415976. It was assigned on September 12, 2006 and is currently active in the NPPES registry.
What is the specialty of CVS State Capital LLC?
CVS State Capital LLC is registered under the primary taxonomy Pharmacy (code 333600000X), licensed in ME under license number PH50000902.
Where does CVS State Capital LLC practice?
The practice location is 797 Main St Ste D, Sanford, ME 04073-3536. The office can be reached at 207-324-3110 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053415976 directly on the NPPES registry website.