Cvs Pharmacy, Inc.
Cvs Pharmacy, Inc. is a healthcare organization registered as Pharmacy in Grand Prairie, TX, holding Type 2 (organization) NPI 1760623227 since 2009. The authorized official on file is Cristiana Mauricio, Manager, Pharmacy Enrollments.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1760623227 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Cvs Pharmacy, Inc. |
| Other name | <Unavail> |
| Practice address | 5195 LAKE RIDGE PKWY, Grand Prairie, TX, 75052 |
| Phone | 9725220395 |
| Enumeration date | 2009-03-13 |
| Last updated in NPPES | 2015-03-11 |
Authorized official
| Name | Cristiana Mauricio |
|---|---|
| Title | Manager, Pharmacy Enrollments |
| Phone | 4017651500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 466597 | Medicaid | TX | — |
| 4551619 | Other | TX | NCPDP # |
| 206985801 | Other | TX | DME |
Copy-ready billing details
Provider: Cvs Pharmacy, Inc. NPI: 1760623227 Taxonomy: 333600000X (Pharmacy) Address: 5195 LAKE RIDGE PKWY, Grand Prairie, TX, 75052
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1043814015 | Jerroed Roberson | Individual | Pharmacist | Grand Prairie, TX |
| 1659976579 | Huong Dang | Individual | Pharmacist | Grand Prairie, TX |
| 1801491709 | Robert Asamoah | Individual | Pharmacotherapy Pharmacist | Grand Prairie, TX |
| 1023724234 | Niya Mohammed | Individual | Pharmacist | Grand Prairie, TX |
Verify this record
Cross-check NPI 1760623227 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
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Where is Cvs Pharmacy, Inc. located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-03-11.