Organization
CVS PHARMACY, INC.
Active
Other names
CVS Pharmacy #11379
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN F COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
8484 CENTRAL MALL DR, PORT ARTHUR, TX 77642-8001
(409) 722-3392
(409) 722-2038
Mailing address
1 CVS DRIVE, BOX 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
(409) 722-2038
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
24441
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145601
—
TX
05
—
145624
—
TX
01
—
2098846
PK
—
Enumeration date
06/22/2006
Last updated
04/01/2019
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