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 1801045190

Pennsylvania Cvs Pharmacy, LLC is a Durable Medical Equipment & Medical Supplies in Philadelphia, Pennsylvania. Registered with an NPI since 2008.

In the registry since
2008
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

3925 Walnut St
Philadelphia, PA 19104-3624
Phone: (215) 222-0829
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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 number1801045190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cristiana Mauricio — Manager, Pharmacy Enrollments · (401) 765-1500
Other names Cvs Pharmacy # 04007
NPI enumeratedSeptember 11, 2008
Last updated in NPPESSeptember 12, 2014
Mailing address1 Cvs Dr, Woonsocket, RI 02895-6146

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