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

Organization Durable Medical Equipment & Medical Supplies · NPI 1174189294

Pennsylvania Cvs Pharmacy, LLC is a Durable Medical Equipment & Medical Supplies in Philadelphia, Pennsylvania. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1717 N 12th St Unit F
Philadelphia, PA 19122-2585
Phone: (215) 235-2001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1174189294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Sr Diector Payer Relations · (401) 770-2751
Other names Cvs Pharmacy #11371; Cvs Pharmacy #11371
NPI enumeratedMay 14, 2019
Last updated in NPPESApril 20, 2020
Certification dateApril 20, 2020
Mailing address1 Cvs Dr, Woonsocket, RI 02895-6146

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