Organization
CVS PHARMACY INC
Active
Other names
CVS Pharmacy # 05858
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
15038 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1210
(210) 646-7045
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
(401) 770-7108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
333600000X
Pharmacy
Primary
—
TX
3336C0003X
Community/Retail Pharmacy
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
280676201
MEDICAID DME
TX
05
—
466720
—
TX
01
—
5901839
NCPDP
TX
Enumeration date
11/23/2010
Last updated
11/23/2011
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