New Jersey Cvs Pharmacy LLC
Pharmacy in Sicklerville, NJ. Organization (NPI-2).
NPI number1487746087
StatusActive
Last updated in NPPESNov 4, 2010
Details
- NPI
- 1487746087
- Entity type
- Organization (NPI-2)
- Legal business name
- New Jersey Cvs Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Sep 29, 2006
- Last updated
- Nov 4, 2010
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 | 5624 | NJ | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cvs Pharmacy 02264 (Doing Business As)
Practice location
589 Cross Keys RdSicklerville, NJ 08081-9506
Phone 856-629-6453
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Authorized official
Susan Colbert
Director
4017651500
Is something wrong?
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All 5 Pharmacy providers in Sicklerville · All 879 providers in Sicklerville
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