Pennsylvania Cvs Pharmacy LLC
Pharmacy in Lebanon, PA. Organization (NPI-2).
NPI number1124126735
StatusActive
Last updated in NPPESFeb 28, 2026
Details
- NPI
- 1124126735
- Entity type
- Organization (NPI-2)
- Legal business name
- Pennsylvania Cvs Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Sep 20, 2006
- Certification date
- Feb 28, 2026
- Last updated
- Feb 28, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | PP414171L | PA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Cvs Pharmacy #01914 (Doing Business As)
Practice location
1760 Quention Rd Cedar Crest SquareLebanon, PA 17042
Phone 717-273-7824
Mailing address
1 Cvs DrBox 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan Colbert
Dir Phcy Enrollments
4017702751
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pharmacy providers in Lebanon, PA
- Pennsylvania Cvs Pharmacy LLCNPI 1407584246
- Pennsylvania Cvs Pharmacy, L.L.C.NPI 1407957962
- Pennsylvania Cvs Pharmacy, L.L.C.NPI 1922106541
- PhilhavenNPI 1578680989
All 5 Pharmacy providers in Lebanon · All 2,114 providers in Lebanon
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