Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1164783304
Cvs Manchester Nh Llc
Organization Subpart: NO
Active
NPI Number1164783304
NPI TypeNPI-2 Organization
SpecialtyPharmacy
Provider Details
NPI1164783304
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2012-06-05
Last Updated2012-12-03
Authorized OfficialSusan Colbert
Director, Payer Relations
Phone: 4017651500
Mailing Address1 Cvs Dr, Box 1075 - Pharmacy Enrollment
Woonsocket, RI 02895-6146
United States
Phone: (401) 765-1500 | Fax: (401) 770-7108
📍 View Map
Primary Practice Address157 Loudon Rd
Concord, NH 03301-5610
United States
Phone: (603) 225-0793
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)NH3061467NCPDP
MEDICAIDNH30709846-
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 1164783304

Cvs Manchester Nh Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1164783304. The primary specialty listed is Pharmacy. The organization is located in Concord, NH. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-06-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1164783304?

NPI 1164783304 belongs to Cvs Manchester Nh Llc, a Pharmacy in Concord, NH. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1164783304 active?

The current status of NPI 1164783304 in the NPPES registry is Active. The record was last updated on 2012-12-03.

What specialty is NPI 1164783304?

NPI 1164783304 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 1164783304?

You can verify NPI 1164783304 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 1164783304?

The primary practice address on file for NPI 1164783304 is 157 Loudon Rd, Concord, NH 03301-5610. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1164783304 issued?

NPI 1164783304 was first issued (enumerated) on 2012-06-05. The NPPES record was last updated on 2012-12-03.

Practice Location Map

Cvs Manchester Nh Llc is located at 157 Loudon Rd, Concord, NH. Use the map below to find directions or verify the practice location.

📍 157 Loudon Rd, Concord, NH 03301-5610  ·  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.

Data Verified from CMS NPPES Last synced: 2026-08-22 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162