| NPI | 1093048761 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2009-09-14 |
| Last Updated | 2014-06-18 |
| Authorized Official | Susan Colbert Director Payer Relations Phone: 4017651500 |
| Mailing Address | 1 Cvs Dr, Box 1075 - Pharmacy Enrollments Woonsocket, RI 02895-6146 United States Phone: (401) 765-1500 📍 View Map |
| Primary Practice Address | 4744 S Highway 95 Fort Mohave, AZ 86426-9377 United States Phone: (928) 763-6822 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | AZ | 474636 | — |
| Other (non-Medicare) | — | 0356370 | NCPDP |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | — | — |
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | — | — |
| Yes | 333600000X – Pharmacy | — | — |
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About NPI 1093048761
Arizona Cvs Stores, L.l.c. is an organization registered in the CMS NPPES NPI Registry with NPI number 1093048761. The primary specialty listed is Pharmacy. The organization is located in Fort Mohave, AZ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-09-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093048761?
NPI 1093048761 belongs to Arizona Cvs Stores, L.l.c., a Pharmacy in Fort Mohave, AZ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093048761 active?
The current status of NPI 1093048761 in the NPPES registry is Active. The record was last updated on 2014-06-18.
What specialty is NPI 1093048761?
NPI 1093048761 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093048761?
You can verify NPI 1093048761 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093048761?
The primary practice address on file for NPI 1093048761 is 4744 S Highway 95, Fort Mohave, AZ 86426-9377. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093048761 issued?
NPI 1093048761 was first issued (enumerated) on 2009-09-14. The NPPES record was last updated on 2014-06-18.
Practice Location Map
Arizona Cvs Stores, L.l.c. is located at 4744 S Highway 95, Fort Mohave, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Arizona Cvs Stores, L.l.c.. All records sourced from the CMS NPPES registry.