# CVS ALBANY, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CVS Pharmacy \# 17681
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972951085
- **Authorized official:** SUSAN COLBERT (SR. DIRECTOR- PAYER RELATIONS)
- **Authorized official phone:** (401) 765-1500

## Contact information

- **Practice address:** 445 GOLD ST, BROOKLYN, NY 11201-3016
- **Practice address phone:** (718) 260-8227
- **Mailing address:** 1 CVS DR, WOONSOCKET, RI 02895-6146
- **Mailing address phone:** (401) 765-1500

## Taxonomy

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

## Other

- **Enumeration date:** 05/31/2016
- **Last updated:** 05/19/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04685549 | — | NY |
| 01 | — | 4413330569 | MEDICARE NSC | — |
| 01 | — | 5816763 | NCPDP | NY |
| 01 | — | A000318043 | MASS IMMUNIZATION | — |