NPIMap

Organization Active NPI

Iowa CVS Pharmacy, LLC

Doing business as CVS Pharmacy # 04816

  • Pharmacy
  • Council Bluffs, IA
National Provider Identifier
1194020602
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
IOWA CVS PHARMACY, LLC
Doing business as
CVS Pharmacy # 04816
Practice address
545 W. Washington St
Council Bluffs, IA 51503-0771
Phone
(712) 352-4152
NPI assigned
Jan 13, 2011
Last updated
Mar 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Susan F 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

545 W. Washington St
Council Bluffs, IA 51503-0771

Mailing address

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

Other names 1

  • CVS Pharmacy # 04816 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071012000493 IA Part B Supplier - Mass Immunization (Roster Biller Only) 3577659127 37 other NPIs on this enrollment
Practice locations: Council Bluffs, IA
O20110420000532 IA DME Supplier - Pharmacy 3577659127 Practice locations: Council Bluffs, IA

Other NPIs on the same Medicare enrollment 33

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 33

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2187203Iowa CVS Pharmacy, LLC Dba CVS/Pharmacy # 04816545 W Washington Street, Council Bluffs, IA 51503Certificate of waiverJun 25, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
CVS Pharmacy # 04816545 W Washington Ave, Council Bluffs, IA 51503-0216(712) 352-4152 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

Member of 1

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

Locations (25 of 53)

3414 8th St SW
Altoona, IA 50009
Phone (515) 967-1185

3414 8th St SW
#17056
Altoona, IA 50009
Phone (515) 967-1885

2420 Lincoln Way
Ste 104
Ames, IA 50014
Phone (515) 292-2990

320 S Duff Ave
Ames, IA 50010
Phone (515) 663-9645

320 S Duff Ave
#16530
Ames, IA 50010
Phone (515) 663-9645

104 E 1st St
Ankeny, IA 50021
Phone (515) 963-7889

104 E 1st St
#10114
Ankeny, IA 50021
Phone (515) 963-2013

2135 SE Delaware Ave
#16893
Ankeny, IA 50021
Phone (515) 964-7000

2002 Spruce Hills Dr
Bettendorf, IA 52722
Phone (563) 359-0374

2314 Spruce Hills Dr
#8633
Bettendorf, IA 52722
Phone (563) 359-0374

214 Viking Plaza Dr
#17554
Cedar Falls, IA 50613
Phone (319) 553-1121

2302 W 1st St
#8538
Cedar Falls, IA 50613
Phone (319) 277-5181

1030 Blairs Ferry Rd NE
#16894
Cedar Rapids, IA 52402
Phone (319) 393-4348

2711 Mount Vernon Rd SE
#8532
Cedar Rapids, IA 52403
Phone (319) 364-3051

3400 Edgewood Rd SW
#16897
Cedar Rapids, IA 52404
Phone (319) 396-4777

3419 16th Ave SW
#8443
Cedar Rapids, IA 52404
Phone (319) 396-3262

4116 Center Point Rd NE
#8526
Cedar Rapids, IA 52402
Phone (319) 393-7480

1441 Coral Ridge Ave
#16485
Coralville, IA 52241
Phone (319) 248-1080

3804 Metro Dr
#17507
Council Bluffs, IA 51501
Phone (712) 309-3381

545 W Washington Ave
Council Bluffs, IA 51503
Phone (712) 352-4152

1655 W Kimberly Rd
Davenport, IA 52806
Phone (563) 388-7856

1655 W Kimberly Rd
#8658
Davenport, IA 52806
Phone (563) 388-7856

1777 N Division St
Davenport, IA 52804
Phone (515) 209-9595

1777 N Division St
#8659
Davenport, IA 52804
Phone (563) 323-1074

5225 Elmore Ave
#16149
Davenport, IA 52807
Phone (563) 344-9629

Practitioners & affiliated clinicians

Practitioners 38

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 38

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1194020602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX - 1075 PHCY ENROLLMENTS",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500",
            "fax_number": "401-770-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W. WASHINGTON ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515030771",
            "telephone_number": "712-352-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA CVS PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "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 # 04816",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.