# CVS PHARMACY, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS Pharmacy \#03894
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053493163
- **Authorized official:** SUSAN COLBERT (MANAGER, PAYER RELATIONS)
- **Authorized official phone:** (401) 770-2751

## Contact information

- **Practice address:** 120 E SONTERRA BLVD, SAN ANTONIO, TX 78258-6425
- **Practice address phone:** (210) 404-9006
- **Practice address fax:** (401) 770-7108
- **Mailing address:** 1 CVS DR, BOX 1075-PHARMACY ENROLLMENTS, WOONSOCKET, RI 02895-6146
- **Mailing address phone:** (401) 765-1500
- **Mailing address fax:** (401) 770-7108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | TX | — |
| 333600000X | Pharmacy | 25207 | TX | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | TX | — |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 10/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4542711 | COMMERCIAL NUMBER | — |
| 05 | — | 466338 | — | TX |