NPI 1689136038 · live from the CMS NPI Registry
Cvs Pharmacy INC
Pharmacy in Cheyenne, WY. National Provider Identifier 1689136038, active.
NPI record
| NPI | 1689136038 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy 333600000X |
| Practice location | 1708 Dell Range Blvd, Cheyenne, WY 82009 |
| Practice phone | 401-765-1500 |
| Mailing address | 1 Cvs Dr # 1075, Woonsocket, RI 02895 |
| Enumerated | April 4, 2019 |
| Last updated | April 4, 2019 |
| Authorized official | Susan Colbert, Sr. Director |
| Other names | Cvs Pharmacy #17769 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy primary | 333600000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.