OrganizationActive
Cvs
NPI 1083087761 · Pharmacist · Lodi, CA
Cvs is a Pharmacist organization in Lodi, CA (NPI 1083087761).
Provider details
- NPI number
- 1083087761
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Mark Tamura, Pharmacist(209) 712-7055
- License
- 40586 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 W Lodi Ave
Lodi, CA 95240-3517
Phone: (209) 369-3648
Fax: (209) 369-3104
Street-level locationGet directions
Mailing address
11181 Boessow Rd
Galt, CA 95632-8321
Registry dates
- Enumerated
- 2015-11-03
- Last updated
- 2015-11-03
Frequently asked questions
- What is Cvs's NPI number?
- Cvs's National Provider Identifier (NPI) is 1083087761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cvs?
- Cvs is classified in the NPPES registry as Pharmacist (Pharmacy Service Providers).
- Where is Cvs located?
- Cvs's practice location on file with NPPES is 100 W Lodi Ave, Lodi, CA 95240-3517.
- What is Cvs's phone number?
- The practice phone number listed in the NPPES registry for Cvs is (209) 369-3648.
- Who is the authorized official for Cvs?
- The authorized official listed on Cvs's NPPES record is Mark Tamura, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cvs's NPI active?
- Yes — Cvs's NPI (1083087761) is active in the NPPES registry as of the last update on 2015-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.