Organization
CVS PHARMACY, INC.
Active
Other names
CVS Pharmacy #01057
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
9140 GUILBEAU ROAD, SAN ANTONIO, TX 78250
(210) 520-5183
(401) 770-7108
Mailing address
1 CVS DR, BOX 1075- PROVIDER ENROLLMENTS, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
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
01
—
4545971
NCPDP #
TX
05
—
466442
—
TX
Enumeration date
10/03/2007
Last updated
02/13/2015
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