Cvs Pharmacy Inc
Cvs Pharmacy Inc is a healthcare organization registered as Pharmacy in Red Oak, TX, holding Type 2 (organization) NPI 1619071412 since 2006. The authorized official on file is Cristiana Mauricio, Mgr Phcy Enrollments.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619071412 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Cvs Pharmacy Inc |
| Other name | <Unavail> |
| Practice address | 105 HARRIS AVE, Red Oak, TX, 75154 |
| Phone | 9726170034 |
| Fax | 9725764858 |
| Enumeration date | 2006-09-12 |
| Last updated in NPPES | 2015-03-09 |
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 | 24917 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000463112 | Medicaid | TX | — |
| 4580949 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Cvs Pharmacy Inc NPI: 1619071412 Taxonomy: 333600000X (Pharmacy) Address: 105 HARRIS AVE, Red Oak, TX, 75154
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1447311691 | Sheila Calmese | Individual | Family Nurse Practitioner | Red Oak, TX |
| 1598219222 | Barack Otieno | Individual | Family Nurse Practitioner | Red Oak, TX |
| 1962920710 | Mincy Mathews | Individual | Family Nurse Practitioner | Red Oak, TX |
| 1801459672 | Jamia Mack | Individual | Family Nurse Practitioner | Red Oak, TX |
| 1629689385 | Dennis Chen | Individual | Pharmacist | Red Oak, TX |
| 1780295394 | Matthew Tran | Individual | Pharmacist | Red Oak, TX |
| 1225640733 | Ali Syed | Individual | Pharmacist | Red Oak, TX |
| 1346019452 | Oluwadamilola Ayanda | Individual | Pharmacist | Red Oak, TX |
Verify this record
Cross-check NPI 1619071412 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 2015-03-09.