Pennsylvania Cvs Pharmacy, L.L.C. is a Pharmacy (organization) practicing in Hazelton, Pennsylvania. The National Provider Identifier (NPI) is #1417058975, which was assigned on September 26, 2006, and the registration record was last updated on September 12, 2014. The practitioner's main practice location is at 64 South Locust St, Hazelton, PA 18201-6100; the contact telephone number is 5704545521. The primary taxonomy of Pennsylvania Cvs Pharmacy, L.L.C. is Pharmacy (333600000X). The authorized official for Pennsylvania Cvs Pharmacy, L.L.C. is Susan Colbert (Director, Payer Relations). Pennsylvania Cvs Pharmacy, L.L.C. is licensed to practice in the state of Pennsylvania (#PP411983L).
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
| NPI | 1417058975 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA CVS PHARMACY, L.L.C. |
| Provider Name | PENNSYLVANIA CVS PHARMACY, L.L.C. |
| Practice Address |
64 South Locust St Hazelton PA 18201-6100 |
| Practice Telephone | 5704545521 |
| Mailing Address |
1 Cvs Dr Po Box 1075 Woonsocket RI 02895-6146 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2014-09-12 |
| Is Organization Subpart | N |
| Official Name | SUSAN COLBERT |
| Official Title | DIRECTOR, PAYER RELATIONS |
| Telephone | 4017702751 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | ||||
| N | 3336C0003X | Pharmacy | Community/Retail Pharmacy | |||
| Y | 333600000X | Pharmacy | PP411983L | PA |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 3900758 | OTHER ID NUMBER-COMMERCIAL NUMBER | Other |
| Other Organization Name | Type |
|---|---|
| CVS PHARMACY #01891 | Doing Business As Name |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Pennsylvania Cvs Pharmacy, L.L.C. | 755 Durham Rd, Newtown, PA 18940-9679 | Durable Medical Equipment & Medical Supplies | 2007-02-21 |
| Pennsylvania Cvs Pharmacy, L.L.C. | 2801 Egypt Rd, Audubon, PA 19403-2105 | Durable Medical Equipment & Medical Supplies | 2007-08-28 |
| Pennsylvania Cvs Pharmacy, L.L.C. | 5674 Route 115, Blakeslee, PA 18610-7926 | Durable Medical Equipment & Medical Supplies | 2006-09-26 |
| Pennsylvania Cvs Pharmacy, L.L.C. | 58 Welwood Ave, Hawley, PA 18428-1524 | Durable Medical Equipment & Medical Supplies | 2006-09-20 |
| Pennsylvania Cvs Pharmacy, L.L.C. | 657 Hamlin Hwy, Lake Ariel, PA 18436-9308 | Community/Retail Pharmacy | 2006-12-06 |
| Code | 333600000X |
| Taxonomy | Pharmacy |
| Classification | Pharmacy |
| Grouping | Suppliers |
| Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| Classification | Durable Medical Equipment & Medical Supplies |
| Grouping | Suppliers |
| Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
| Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| Grouping | Suppliers |
| Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Junius Rx Pharmacy Inc. | 285 Junius St, Brooklyn, NY 11212-8132 | Pharmacy | 2025-05-29 |
| Modoc Family Pharmacy LLP | 432 N Main St, Alturas, CA 96101-3458 | Pharmacy | 2025-05-23 |
| Exeter Community Pharmacy LLC | 3811 Perkiomen Ave, Reading, PA 19606-2716 | Pharmacy | 2025-05-28 |
| Bethany Fuchs | 1850 State St, New Albany, IN 47150-4990 | Pharmacy | 2025-06-07 |
| Converge Rx LLC | 4800 N Scottsdale Rd Ste 1600, Scottsdale, AZ 85251-7631 | Pharmacy | 2025-06-04 |
| Ctd Pharmacy LLC | 390 Lincoln Ave Ste B2, Hatboro, PA 19040-2226 | Pharmacy | 2025-05-27 |
| Liberty Scripts Corp. | 13512 Liberty Ave, Jamaica, NY 11419-2355 | Pharmacy | 2025-06-02 |
| Broadway Care Pharmacy Inc. | 4106 Broadway, Astoria, NY 11103-3288 | Pharmacy | 2025-05-21 |
| Smartpharmarx, LLC | 6463 S Falkenburg Rd, Riverview, FL 33578-8696 | Pharmacy | 2025-06-04 |
| Bridgette Falco | 950 Campbell Ave, West Haven, CT 06516-2770 | Pharmacy | 2025-05-29 |
| Find all providers with the same taxonomy | |||
| Street Address |
64 SOUTH LOCUST ST |
| City | HAZELTON |
| State | PA |
| Zip Code | 18201-6100 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Pamela Brune | 70 S Locust St, Hazleton, PA 18201-6100 | Pharmacist | 2024-08-30 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kristie Scheib | 223 W Broad St, Hazleton, PA 18201-6201 | Professional Counselor | 2022-11-11 |
| Jamie Feick | 700 E Broad St, Hazleton, PA 18201-6835 | Nurse Practitioner | 2022-03-01 |
| 1000 Stacie Drive Opco LLC | 1000 Stacie Dr, Hazleton, PA 18201-5690 | Skilled Nursing Facility | 2024-12-24 |
| Ashly Gutierrez Badia | 546 W Broad St, Hazleton, PA 18201-6108 | Medical Physician Assistant | 2024-09-24 |
| Hazleton Anesthesia Services, P.C. | 700 E Broad St, Hazleton, PA 18201-6835 | Anesthesiology Physician | 2009-11-19 |
| Diego De Jesus Gonzalez · Diego J Gonzalez Perez | 564 W Broad St, Hazleton, PA 18201-6108 | Pediatrics Physician | 2005-10-25 |
| Northeastern Pennsylvania Health Corporation | 766 E Broad St, Hazleton, PA 18201-6835 | Home Health Agency | 2006-12-20 |
| Manor At St. Luke Village Facility Operations, LLC | 1711 E Broad St, Hazleton, PA 18201-5691 | Skilled Nursing Facility | 2006-07-28 |
| Brittany Terese Cavanaugh | 564 W Broad St, Hazleton, PA 18201-6108 | Neonatal Intensive Care Registered Nurse | 2022-08-12 |
| Veronica Coppersmith | 700 E Broad St, Hazleton, PA 18201-6835 | Emergency Medicine Physician | 2013-07-11 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Merakey Pennsylvania | 4606 Lee St, Alexandria, LA 71302-3235 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2012-03-08 |
| Pennsylvania Cvs Pharmacy LLC | 123 Gettysburg Pike, Mechanicsburg, PA 17055-5605 | Durable Medical Equipment & Medical Supplies | 2006-09-20 |
| Amedisys Pennsylvania, L.L.C. | 480 New Holland Ave, Building 8, Suite 8101, Lancaster, PA 17602-2291 | Home Health Agency | 2007-06-21 |
| Pm Pediatrics of Pennsylvania | 101 E Swedesford Rd, Wayne, PA 19087-1455 | Pediatrics Physician | 2018-10-01 |
| Epp Pennsylvania PLLC | 1220 Valley Forge Rd Ste 40, Phoenixville, PA 19460-2676 | Endodontist | 2024-10-17 |
| Dva Healthcare of Pennsylvania LLC | 248 Elm Dr, Waynesburg, PA 15370-8269 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-04-06 |
| Pennsylvania Cvs Pharmacy LLC | 2101 Washington Ave, Philadelphia, PA 19146 | Durable Medical Equipment & Medical Supplies | 2024-09-03 |
| Humangood Pennsylvania | 1515 The Fairway, Jenkintown, PA 19046-1435 | Clinic/Center | 2005-09-20 |
| Dva Healthcare of Pennsylvania LLC | 101 9th St, Mckeesport, PA 15132-3953 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2006-04-05 |
| Polaris Pharmacy Services of Pennsylvania, LLC | 2000 Clairton Rd, West Mifflin, PA 15122-3010 | Pharmacy | 2021-08-11 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |