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Export Provider Record NPI 1154590628
North Carolina Cvs Pharmacy, Llc
Organization Subpart: NO
Active
NPI Number1154590628
NPI TypeNPI-2 Organization
SpecialtyPharmacy
Provider Details
NPI1154590628
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2008-02-28
Last Updated2012-03-05
Authorized OfficialSusan Colbert
Director, Payer Relations
Phone: 4017702751
Mailing Address1 Cvs Dr, Box 1075- Pharmacy Enrollments
Woonsocket, RI 02895-6146
United States
Phone: (401) 765-1500 | Fax: (401) 770-7108
📍 View Map
Primary Practice Address2902 Forestville Rd.
Raleigh, NC 27616
United States
Phone: (919) 266-6418
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNC0920223 rx
Other (non-Medicare)NC3410418NCPDP
MEDICAIDNC7704891 dme
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies
No3336C0003X – Pharmacy, Community/Retail Pharmacy
Yes333600000X – Pharmacy
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About NPI 1154590628

North Carolina Cvs Pharmacy, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1154590628. The primary specialty listed is Pharmacy. The organization is located in Raleigh, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-02-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1154590628?

NPI 1154590628 belongs to North Carolina Cvs Pharmacy, Llc, a Pharmacy in Raleigh, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1154590628 active?

The current status of NPI 1154590628 in the NPPES registry is Active. The record was last updated on 2012-03-05.

What specialty is NPI 1154590628?

NPI 1154590628 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 1154590628?

You can verify NPI 1154590628 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 1154590628?

The primary practice address on file for NPI 1154590628 is 2902 Forestville Rd., Raleigh, NC 27616. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1154590628 issued?

NPI 1154590628 was first issued (enumerated) on 2008-02-28. The NPPES record was last updated on 2012-03-05.

Practice Location Map

North Carolina Cvs Pharmacy, Llc is located at 2902 Forestville Rd., Raleigh, NC. Use the map below to find directions or verify the practice location.

📍 2902 Forestville Rd., Raleigh, NC 27616  ·  Open in Google Maps ↗

Related Healthcare Providers

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

Data Verified from CMS NPPES Last synced: 2026-07-05 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162