NPIMap

Organization Active NPI

West Virginia CVS Pharmacy LLC

Doing business as CVS Pharmacy #17888

  • Pharmacy
  • Hurricane, WV
National Provider Identifier
1023791787
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
WEST VIRGINIA CVS PHARMACY LLC
Doing business as
CVS Pharmacy #17888
Practice address
300 Liberty Square Dr
Hurricane, WV 25526
Phone
(681) 235-8070
NPI assigned
Aug 9, 2023
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan F Colbert
Title
Sr. Director
Phone
(401) 765-1500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

300 Liberty Square Dr
Hurricane, WV 25526

Mailing address

1 CVS Dr
Box 1075
Woonsocket, RI 02895
Phone (401) 765-1500

Other names 1

  • CVS Pharmacy #17888 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101028001521 WV Part B Supplier - Mass Immunization (Roster Biller Only) 2668678681 This NPI is an additional NPI on the enrollment
O20231129002148 WV DME Supplier - Pharmacy 2668678681 Practice locations: Hurricane, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
West Virginia CVS Pharmacy LLC300 Liberty Square Dr, Hurricane, WV 25526-8804(681) 235-8070 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Ent… Accepts assignmentParticipating since Jan 1, 2023

National Provider Directory

National Provider Directory
Tax ID family
West Virginia CVS Pharmacy51 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 42)

105 S State St
Athens, WV 24712
Phone (304) 384-7851

2070 Thundering Herd Dr
Barboursville, WV 25504
Phone (304) 736-7651

1827 Harper Rd
#7792
Beckley, WV 25801
Phone (304) 253-3088

1846 Coal Heritage Rd
Bluefield, WV 24701
Phone (304) 324-0021

2800 Meadowbrook Mall
Bridgeport, WV 26330
Phone (304) 842-7779

1327 Plaza E
Charleston, WV 25301
Phone (304) 343-9497

1327 Plaza E
#4127
Charleston, WV 25301
Phone (304) 343-9497

885 Oakwood Rd
#2148
Charleston, WV 25314
Phone (304) 340-9925

701 E Main St
Clarksburg, WV 26301
Phone (304) 624-0161

701 E Main St
#3186
Clarksburg, WV 26301
Phone (304) 624-0161

505 Randolph Ave
#3439
Elkins, WV 26241
Phone (304) 636-5696

219 Crossings Mall Rd
Elkview, WV 25071
Phone (304) 965-0460

221 Crossings Mall Rd
#5957
Elkview, WV 25071
Phone (304) 965-0460

300 Fairmont Ave
Fairmont, WV 26554
Phone (304) 366-6182

2907 State St
Gassaway, WV 26624
Phone (304) 364-5161

2916 State St
Gassaway, WV 26624
Phone (304) 364-5161

505 20th St
#4419
Huntington, WV 25703
Phone (304) 522-1035

800 20th St
#4419
Huntington, WV 25703
Phone (304) 522-1035

300 Liberty Sq
Hurricane, WV 25526
Phone (681) 235-8070

300 Liberty Sq
#17888
Hurricane, WV 25526
Phone (681) 235-8070

2 Rainbow Plz
Mannington, WV 26582
Phone (304) 986-2830

2 Rainbow Plz
#5955
Mannington, WV 26582
Phone (304) 986-2830

1200 Edwin Miller Blvd
Martinsburg, WV 25404
Phone (304) 263-4951

15992 US Route 60
Milton, WV 25541
Phone (304) 421-3254

300 4th Ave
#4432
Montgomery, WV 25136
Phone (304) 442-2431

Practitioners & affiliated clinicians

Practitioners 95

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 95

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1023791787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "02895",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LIBERTY SQUARE DR",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "25526",
            "telephone_number": "681-235-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VIRGINIA CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SR. DIRECTOR",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS Pharmacy #17888",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CVS Pharmacy #17888",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.