Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cvs Pharmacy Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1902900715

Cvs Pharmacy Inc is a Durable Medical Equipment & Medical Supplies in Lake Jackson, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

117 Oyster Creek Dr
Lake Jackson, TX 77566-4157
Phone: (979) 297-3254
Fax: (979) 297-9012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 24733 (TX)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X (TX)
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1902900715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Director, Payer Relations · (401) 770-2751
Other names Cvs Pharmacy#06704; Cvs Pharmacy#06704
NPI enumeratedSeptember 12, 2006
Last updated in NPPESDecember 20, 2022
Certification dateDecember 20, 2022
Mailing address1 Cvs Dr, Po Box 1075, Woonsocket, RI 02895-6146

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