Cvs Pharmacy Inc
Cvs Pharmacy Inc is a healthcare organization registered as Pharmacy in Lubbock, TX, holding Type 2 (organization) NPI 1417051244 since 2006. The authorized official on file is Cristiana Mauricio, Mgr Phcy Enrollments.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417051244 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Cvs Pharmacy Inc |
| Other name | <Unavail> |
| Practice address | 6420 19TH ST, Lubbock, TX, 79407 |
| Phone | 8067973877 |
| Fax | 8067950944 |
| Enumeration date | 2006-09-12 |
| Last updated in NPPES | 2015-03-11 |
Authorized official
| Name | Cristiana Mauricio |
|---|---|
| Title | Mgr Phcy Enrollments |
| Phone | 4017702937 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 24789 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00754740 | Other | TX | MEDICARE RR |
| 4534168 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Cvs Pharmacy Inc NPI: 1417051244 Taxonomy: 333600000X (Pharmacy) Address: 6420 19TH ST, Lubbock, TX, 79407
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1457963597 | Mazen Sabouni | Individual | Pharmacist | Lubbock, TX |
| 1245847847 | Lan Tran | Individual | Pharmacist | Lubbock, TX |
| 1215534839 | Michelle Ren | Individual | Pharmacist | Lubbock, TX |
| 1740862176 | Jaron Robertson | Individual | Pharmacist | Lubbock, TX |
| 1649996133 | Alec Ruiz | Individual | Pharmacist | Lubbock, TX |
Verify this record
Cross-check NPI 1417051244 against the authoritative CMS record: view Cvs Pharmacy Inc 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
What is a Type 2 NPI?
What type of organization is Cvs Pharmacy Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-03-11.