Pennsylvania Cvs Pharmacy LLC
Pharmacy in Nesquehoning, PA. Organization (NPI-2).
NPI number1720182579
StatusActive
Last updated in NPPESApr 17, 2026
Details
- NPI
- 1720182579
- Entity type
- Organization (NPI-2)
- Legal business name
- Pennsylvania Cvs Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Sep 12, 2006
- Certification date
- Apr 17, 2026
- Last updated
- Apr 17, 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 | PP414156L | PA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Cvs Pharmacy # 01325 (Doing Business As)
Practice location
20 E Locust StNesquehoning, PA 18240-1300
Phone 570-669-6600
Mailing address
1 Cvs DrBox 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan Colbert
Director, Payer Relations
4017702751
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