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 1811104979

Pennsylvania Cvs Pharmacy LLC is a Durable Medical Equipment & Medical Supplies in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
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

4000 Monument Rd
Philadelphia, PA 19131-1600
Phone: (267) 233-5021
Fax: (267) 233-5021
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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 · Licence PP481741 (PA)

Record details

NPI number1811104979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Sr. Director, Payer Relations · (401) 770-2751
Other names Cvs Pharmacy #17207
NPI enumeratedMay 17, 2007
Last updated in NPPESDecember 5, 2016
Mailing address1 Cvs Dr, Box 1075, Woonsocket, RI 02895-6146

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