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

Pennsylvania Cvs Pharmacy, LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1790105104

Pennsylvania Cvs Pharmacy, LLC is a Durable Medical Equipment & Medical Supplies in Philadelphia, Pennsylvania. Registered with an NPI since 2014.

In the registry since
2014
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

3331 Grant Ave
Philadelphia, PA 19114-2629
Phone: (215) 464-2636
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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 number1790105104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Director, Payer Relations · (401) 765-1500
Other names Cvs Pharmacy # 02170
NPI enumeratedApril 24, 2014
Last updated in NPPESMarch 11, 2015
Mailing address1 Cvs Dr, Box 1075, Woonsocket, RI 02895-6146

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