NPIMap

Organization Active NPI

Arizona CVS Stores LLC

Doing business as CVS Pharmacy #08952

  • Pharmacy
  • Peoria, AZ
National Provider Identifier
1134549181
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ARIZONA CVS STORES LLC
Doing business as
CVS Pharmacy #08952
Practice address
24865 N Lake Pleasant Parkway
Peoria, AZ 85383-1280
Phone
(623) 566-1110
NPI assigned
Apr 17, 2014
Last updated
Sep 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Susan Colbert
Title
Director Payer Relations
Phone
(401) 770-2751

Specialties & licenses 3

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

Addresses

Primary practice location

24865 N Lake Pleasant Parkway
Peoria, AZ 85383-1280

Mailing address

1 CVS Dr
Box 1075 Pharmacy Enrollments
Woonsocket, RI 02895-6146
Phone (401) 765-1500

Other names 1

  • CVS PHARMACY #08952 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100107000345 AZ Part B Supplier - Mass Immunization (Roster Biller Only) 6406997899 This NPI is an additional NPI on the enrollment
O20140815002129 AZ DME Supplier - Pharmacy 6406997899 Practice locations: Peoria, AZ

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
CVS Pharmacy #0895224865 N Lake Pleasant Pkwy, Peoria, AZ 85383-1280(623) 566-1110 Immunosuppressive Drugs|Infusion 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|Urologic… Does not accept assignmentParticipating since Jan 1, 2025

National Provider Directory

National Provider Directory
Tax ID family
CVS64 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

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

View all 21

Member of 1

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

Locations (25 of 71)

3610 W Anthem Way
#9340
Anthem, AZ 85086
Phone (623) 551-4299

2350 Miracle Mile
#8826
Bullhead City, AZ 86442
Phone (928) 758-2212

1179 S State Route 260
#9319
Cottonwood, AZ 86326
Phone (928) 634-2147

3506 E Route 66
#9231
Flagstaff, AZ 86004
Phone (928) 526-6505

4744 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 763-6822

4744 S Highway 95
#9309
Fort Mohave, AZ 86426
Phone (928) 763-6822

16545 E Palisades Blvd
Fountain Hills, AZ 85268
Phone (480) 836-8337

16545 E Palisades Blvd
#9279
Fountain Hills, AZ 85268
Phone (480) 836-8337

5125 W Olive Ave
#8983
Glendale, AZ 85302
Phone (623) 931-0882

3501 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-1999

3501 N Stockton Hill Rd
#8977
Kingman, AZ 86409
Phone (928) 757-1999

75 Lake Havasu Ave N
#7022
Lk Havasu Cty, AZ 86403
Phone (928) 854-6300

1137 S Dobson Rd
Mesa, AZ 85202
Phone (480) 964-0304

1137 S Dobson Rd
#9218
Mesa, AZ 85202
Phone (480) 964-1411

305 E Brown Rd
#9213
Mesa, AZ 85201
Phone (480) 833-2986

131 W Riverside Dr
Parker, AZ 85344
Phone (928) 669-6168

131 W Riverside Dr
#8802
Parker, AZ 85344
Phone (928) 669-1092

24865 N Lake Pleasant Pkwy
Peoria, AZ 85383
Phone (623) 566-1110

24865 N Lake Pleasant Pkwy
#8952
Peoria, AZ 85383
Phone (623) 566-1110

9172 W Union Hills Dr
#9294
Peoria, AZ 85382
Phone (623) 572-0054

9856 W Peoria Ave
#9237
Peoria, AZ 85345
Phone (623) 977-8260

12409 N Tatum Blvd
#9245
Phoenix, AZ 85032
Phone (602) 996-7320

1525 N Central Ave
Phoenix, AZ 85004
Phone (602) 256-2124

1525 N Central Ave
#9347
Phoenix, AZ 85004
Phone (602) 256-2124

21001 N Tatum Blvd
Ste 82
Phoenix, AZ 85050
Phone (480) 419-3921

Practitioners & affiliated clinicians

Practitioners 139

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 139

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1134549181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075 PHARMACY ENROLLMENTS",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24865 N LAKE PLEASANT PARKWAY",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831280",
            "telephone_number": "623-566-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA CVS STORES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "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 #08952",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.