Active NPIOrganization

New Jersey CVS Pharmacy LLC

Pharmacy in Kendall Park, New Jersey

NPI Number1104929926
Practice location
3560 Rte 27, Kendall Park, NJ 08824
Fax
—
Last updated
June 23, 2014

New Jersey CVS Pharmacy LLC is a healthcare organization based in Kendall Park, NJ. New Jersey CVS Pharmacy LLC practices in Kendall Park, NJ. The NPI Number for New Jersey CVS Pharmacy LLC is 1104929926 and holds a License No. 4454 (NJ). The current practice location address for New Jersey CVS Pharmacy LLC is 3560 Rte 27, Kendall Park, NJ 08824 and can be reached out via phone at 732-422-4336.

Provider Profile Details

NPI Number
1104929926
Provider Name
New Jersey CVS Pharmacy LLC
Provider Entity Type
Organization
Address
3560 Rte 27, Kendall Park, NJ 08824
Phone Number
732-422-4336
Primary Taxonomy
Pharmacy · 333600000X
Organization Subpart
No
Authorized Official
Susan Colbert · Dir.,managed Care Administration · 401-770-2751
Other Names
CVS Pharmacy #06032 (Doing Business As)
Provider Enumeration Date
September 7, 2006
Last Update Date
June 23, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
3560 Rte 27
Kendall Park, NJ 08824
Zip
08824
Phone Number
732-422-4336
Kendall Park, NJ 08824Get directions →

Provider Business Mailing Address Details

Address
1 CVS Dr
Po Box 1075
Woonsocket, RI 02895-6146
City
Woonsocket
State
RI
Zip
02895-6146
Phone Number
401-765-1500

License Information

Taxonomy (1)
Pharmacy, Community/Retail Pharmacy · 3336C0003X
License Number (3)
4454
License State (3)
NJ
Taxonomy (3)
Pharmacy · 333600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 New Jersey CVS Pharmacy LLC?

The NPI number of New Jersey CVS Pharmacy LLC is 1104929926. It was assigned on September 7, 2006 and is currently active in the NPPES registry.

What is the specialty of New Jersey CVS Pharmacy LLC?

New Jersey CVS Pharmacy LLC is registered under the primary taxonomy Pharmacy (code 333600000X), licensed in NJ under license number 4454.

Where does New Jersey CVS Pharmacy LLC practice?

The practice location is 3560 Rte 27, Kendall Park, NJ 08824. The office can be reached at 732-422-4336 (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 1104929926 directly on the NPPES registry website.

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