Organization
CONNECTICUT CVS PHARMACY LLC
Active
Other names
CVS Pharmacy #05881
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
969 HIGH RIDGE RD, STAMFORD, CT 06905-1608
(203) 322-1520
Mailing address
1 CVS DR, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008056612
—
CT
01
—
008057337
MEDICAID DME
CT
01
—
0723622
NCPDP
—
Enumeration date
08/27/2014
Last updated
02/18/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us