Provider Demographics
NPI:1831570837
Name:CVS HEALTH
Entity type:Organization
Organization Name:CVS HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MERLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-686-4237
Mailing Address - Street 1:444 WILLETT AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:RI
Mailing Address - Zip Code:02915-2515
Mailing Address - Country:US
Mailing Address - Phone:401-433-1120
Mailing Address - Fax:401-437-2919
Practice Address - Street 1:444 WILLETT AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-2515
Practice Address - Country:US
Practice Address - Phone:401-433-1120
Practice Address - Fax:401-437-2919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-15
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI2239305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service