| NPI | 1255434080 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-07 |
| Last Updated | 2012-03-07 |
| Authorized Official | Susan Colbert Director, Payer Relations Phone: 4017702751 |
| Mailing Address | 1 Cvs Dr, Po Box 1075 Woonsocket, RI 02895-6146 United States Phone: (401) 765-1500 📍 View Map |
| Primary Practice Address | 30 Orvin Lance Connector Blue Ridge, GA 30513-4238 United States Phone: (706) 632-8097 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 000341525A | - |
| Other (non-Medicare) | - | 1130967 | Other ID Number-Commercial Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| Yes | 333600000X – Pharmacy | GA | 006746 |
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About NPI 1255434080
Georgia Cvs Pharmacy, L.l.c. is an organization registered in the CMS NPPES NPI Registry with NPI number 1255434080. The primary specialty listed is Pharmacy. The organization is located in Blue Ridge, GA. 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 1255434080?
NPI 1255434080 belongs to Georgia Cvs Pharmacy, L.l.c., a Pharmacy in Blue Ridge, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1255434080 active?
The current status of NPI 1255434080 in the NPPES registry is Active. The record was last updated on 2012-03-07.
What specialty is NPI 1255434080?
NPI 1255434080 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 1255434080?
You can verify NPI 1255434080 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 1255434080?
The primary practice address on file for NPI 1255434080 is 30 Orvin Lance Connector, Blue Ridge, GA 30513-4238. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1255434080 issued?
NPI 1255434080 was first issued (enumerated) on 2006-09-07. The NPPES record was last updated on 2012-03-07.
Practice Location Map
Georgia Cvs Pharmacy, L.l.c. is located at 30 Orvin Lance Connector, Blue Ridge, GA. 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 Georgia Cvs Pharmacy, L.l.c.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1255434080. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy | 006746 | GA |