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Export Provider Record NPI 1417050287
North Carolina Cvs Pharmacy Llc
Organization Subpart: NO
Active
NPI Number1417050287
NPI TypeNPI-2 Organization
SpecialtyPharmacy
Provider Details
NPI1417050287
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-09-07
Last Updated2015-11-20
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 Address1607 Way St
Reidsville, NC 27320-5748
United States
Phone: (336) 342-4741
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)-3417032Other ID Number-Commercial Number
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No3336C0003X – Pharmacy, Community/Retail Pharmacy--
No332B00000X – Durable Medical Equipment & Medical Supplies--
Yes333600000X – PharmacyNC6756
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About NPI 1417050287

North Carolina Cvs Pharmacy Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1417050287. The primary specialty listed is Pharmacy. The organization is located in Reidsville, NC. 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 1417050287?

NPI 1417050287 belongs to North Carolina Cvs Pharmacy Llc, a Pharmacy in Reidsville, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1417050287 active?

The current status of NPI 1417050287 in the NPPES registry is Active. The record was last updated on 2015-11-20.

What specialty is NPI 1417050287?

NPI 1417050287 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 1417050287?

You can verify NPI 1417050287 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 1417050287?

The primary practice address on file for NPI 1417050287 is 1607 Way St, Reidsville, NC 27320-5748. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1417050287 issued?

NPI 1417050287 was first issued (enumerated) on 2006-09-07. The NPPES record was last updated on 2015-11-20.

Practice Location Map

North Carolina Cvs Pharmacy Llc is located at 1607 Way St, Reidsville, NC. Use the map below to find directions or verify the practice location.

📍 1607 Way St, Reidsville, NC 27320-5748  ·  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.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1417050287. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy6756NC
Data Verified from CMS NPPES Last synced: 2026-08-28 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162