Pennsylvania Cvs Pharmacy LLC
Pennsylvania Cvs Pharmacy LLC is a healthcare organization registered as Pharmacy in Carnegie, PA, holding Type 2 (organization) NPI 1124121983 since 2006. The authorized official on file is Susan Colbert, Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124121983 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pennsylvania Cvs Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 401 CHESTNUT ST, Carnegie, PA, 15106 |
| Phone | 4122795020 |
| Enumeration date | 2006-09-07 |
| Last updated in NPPES | 2012-12-10 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Director |
| Phone | 4017651500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Primary | PP415007L | PA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3969459 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Pennsylvania Cvs Pharmacy LLC NPI: 1124121983 Taxonomy: 333600000X (Pharmacy) Address: 401 CHESTNUT ST, Carnegie, PA, 15106
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1922563527 | Adam Grana | Individual | Pharmacist | Carnegie, PA |
| 1144847690 | Kathleen Hallisey | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Carnegie, PA |
| 1285239095 | Jessica Pavolko | Individual | Pharmacist | Carnegie, PA |
| 1447014873 | Greggory Rendine | Individual | Pharmacist | Carnegie, PA |
| 1568288132 | Alyssa Vrana | Individual | Pharmacist | Carnegie, PA |
| 1649120700 | Aadi Balsaraf | Individual | Student in an Organized Health Care Education/Training Program | Carnegie, PA |
| 1881530038 | Danielle Moretti | Individual | Pharmacist | Carnegie, PA |
Verify this record
Cross-check NPI 1124121983 against the authoritative CMS record: view Pennsylvania Cvs Pharmacy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Pennsylvania Cvs Pharmacy LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-12-10.