- Practice location
- 119 Crossing Way, Augusta, ME 04330-6102
- Phone
- 207-622-8001
- Fax
- 207-622-8011
- Last updated
- October 31, 2016
CVS State Capital LLC is a healthcare organization based in Augusta, ME. CVS State Capital LLC practices in Augusta, ME. The NPI Number for CVS State Capital LLC is 1972789311 and holds a License No. PH50001547 (ME). The current practice location address for CVS State Capital LLC is 119 Crossing Way, Augusta, ME 04330-6102 and can be reached out via phone at 207-622-8001 and via fax at 207-622-8011.
Provider Profile Details
- NPI Number
- 1972789311
- Provider Name
- CVS State Capital LLC
- Provider Entity Type
- Organization
- Address
- 119 Crossing Way, Augusta, ME 04330-6102
- Phone Number
- 207-622-8001
- Fax Number
- 207-622-8011
- Primary Taxonomy
- Pharmacy · 333600000X
- Organization Subpart
- No
- Authorized Official
- Susan Colbert · Sr. Director, Payer Relations · 401-770-2751
- Other Names
- CVS Pharmacy #17382 (Doing Business As)
- Provider Enumeration Date
- January 16, 2008
- Last Update Date
- October 31, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 119 Crossing Way
Augusta, ME 04330-6102 - City
- Augusta
- State
- Maine
- Zip
- 04330-6102
- Phone Number
- 207-622-8001
- Fax Number
- 207-622-8011
Provider Business Mailing Address Details
- Address
- 1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146 - City
- Woonsocket
- State
- RI
- Zip
- 02895-6146
- Phone Number
- 401-765-1500
License Information
- License Number (1)
- PH50001547
- License State (1)
- ME
- Taxonomy (1)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Taxonomy (2)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- 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 1972789311. It was assigned on January 16, 2008 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 PH50001547.
Where does CVS State Capital LLC practice?
The practice location is 119 Crossing Way, Augusta, ME 04330-6102. The office can be reached at 207-622-8001 (phone) or 207-622-8011 (fax).
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 1972789311 directly on the NPPES registry website.