| NPI | 1104929959 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-07 |
| Last Updated | 2016-08-15 |
| Authorized Official | Susan Colbert DIRECTOR Phone: 4017651500 |
| Mailing Address | 1 Cvs Dr, Po Box 1075 Woonsocket, RI 02895-6146 United States Phone: (401) 765-1500 📍 View Map |
| Primary Practice Address | 1775 Golden Mile Hwy Monroeville, PA 15146-1828 United States Phone: (412) 372-3151 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | — | 3937159 | Other ID Number-Commercial Number |
| Other (non-Medicare) | — | P00754714 | Medicare RR |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | — | — |
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | — | — |
| Yes | 333600000X – Pharmacy | PA | PP410804L |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1104929959
Pennsylvania Cvs Pharmacy Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1104929959. The primary specialty listed is Pharmacy. The organization is located in Monroeville, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104929959?
NPI 1104929959 belongs to Pennsylvania Cvs Pharmacy Llc, a Pharmacy in Monroeville, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104929959 active?
The current status of NPI 1104929959 in the NPPES registry is Active. The record was last updated on 2016-08-15.
What specialty is NPI 1104929959?
NPI 1104929959 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 1104929959?
You can verify NPI 1104929959 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 1104929959?
The primary practice address on file for NPI 1104929959 is 1775 Golden Mile Hwy, Monroeville, PA 15146-1828. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104929959 issued?
NPI 1104929959 was first issued (enumerated) on 2006-09-07. The NPPES record was last updated on 2016-08-15.
Practice Location Map
Pennsylvania Cvs Pharmacy Llc is located at 1775 Golden Mile Hwy, Monroeville, PA. 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 Pennsylvania Cvs Pharmacy 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 1104929959. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy | PP410804L | PA |