Cvs Pharmacy #16367
LBN: Cvs Pharmacy Inc.
Cvs Pharmacy #16367 is an health care organization with primary practice located at 4900 E Main St , Farmington NM 87402-8658. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Cvs Pharmacy Inc. can be contacted via phone (505) 327-3555, or through Colbert, Susan via phone (401) 770-2751.
Contact Information
Primary practice address
4900 E Main St
Farmington NM 87402-8658
Phone: (505) 327-3555
Fax: (505) 608-3482
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH00004174 | New Mexico |
Profile Details
| NPI number | 1699857060 |
|---|---|
| LBN Legal business name | Cvs Pharmacy Inc. |
| DBA Doing business as | Cvs Pharmacy #16367 |
| Authorized official | Colbert, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Dec 22nd, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699857060 | NPPES |
| New Mexico | Other | 32557515 | NM MEDICAID (DME) |
| New Mexico | MEDICAID | 16475810 | NM MEDICAID (DME) |
| New Mexico | Other | 2059009 | NM MEDICAID (DME) |
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