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Export Provider Record NPI 1104051226
Cvs Manchester Nh Llc
Organization Subpart: NO
Active
NPI Number1104051226
NPI TypeNPI-2 Organization
SpecialtyPharmacy
Provider Details
NPI1104051226
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2009-05-19
Last Updated2016-11-08
Authorized OfficialSusan Colbert
Sr. Director, Payer Relations
Phone: 4017702751
Mailing Address1 Cvs Dr, Box 1075
Woonsocket, RI 02895-6146
United States
Phone: (401) 765-1500
📍 View Map
Primary Practice Address1450 Greenland Rd
Greenland, NH 03840-2438
United States
Phone: (603) 501-1471 | Fax: (603) 501-1481
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)-2120078PK
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies--
No3336C0003X – Pharmacy, Community/Retail PharmacyNH0759 P
Yes333600000X – Pharmacy--
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About NPI 1104051226

Cvs Manchester Nh Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1104051226. The primary specialty listed is Pharmacy. The organization is located in Greenland, NH. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-05-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104051226?

NPI 1104051226 belongs to Cvs Manchester Nh Llc, a Pharmacy in Greenland, NH. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104051226 active?

The current status of NPI 1104051226 in the NPPES registry is Active. The record was last updated on 2016-11-08.

What specialty is NPI 1104051226?

NPI 1104051226 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 1104051226?

You can verify NPI 1104051226 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 1104051226?

The primary practice address on file for NPI 1104051226 is 1450 Greenland Rd, Greenland, NH 03840-2438. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104051226 issued?

NPI 1104051226 was first issued (enumerated) on 2009-05-19. The NPPES record was last updated on 2016-11-08.

Practice Location Map

Cvs Manchester Nh Llc is located at 1450 Greenland Rd, Greenland, NH. Use the map below to find directions or verify the practice location.

📍 1450 Greenland Rd, Greenland, NH 03840-2438  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Cvs Manchester Nh Llc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104051226. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy0759 PNH
Data Verified from CMS NPPES Last synced: 2026-08-09 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162