Active NPI
Alabama CVS Pharmacy, L.L.C.
Doing business as CVS Pharmacy #04946
- Pharmacy
- Aliceville, AL
National Provider Identifier
1225131964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 110938
- Legal business name
- ALABAMA CVS PHARMACY, L.L.C.
- Doing business as
- CVS Pharmacy #04946
- Practice address
- 113 3Rd St SE
Aliceville, AL 35442-2718 - Phone
- (205) 373-8475
- NPI assigned
- Sep 7, 2006
- Last updated
- Mar 5, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | 110938 | AL | Primary |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
113 3Rd St SE
Aliceville, AL 35442-2718
Mailing address
1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225131964 | Other | AL | DME |
| 0124191 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 1225131964 | Medicaid | AL |
Other names 1
- CVS Pharmacy #04946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081211000091 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 1254492069 | This NPI is an additional NPI on the enrollment |
| O20100930031501 | AL | DME Supplier - Pharmacy | 1254492069 | Practice locations: Aliceville, AL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2264038 | Dba CVS/Pharmacy #04946 | Certificate of waiver | Jul 7, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #04946 | Infusion 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|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Alabama CVS Pharmacy LLC
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Pharmacy
- Montgomery, AL
- NPI 1174627145
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
113 3Rd Ave NE
Aliceville, AL 35442
113 3rd St SE
Aliceville, AL 35442
Phone (205) 373-8475
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Aliceville, AL
- NPI 1194329219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709596800000",
"number": "1225131964",
"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": "028956146",
"telephone_number": "401-765-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 3RD ST SE",
"city": "ALICEVILLE",
"state": "AL",
"postal_code": "354422718",
"telephone_number": "205-373-8475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALABAMA CVS PHARMACY, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"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": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AL",
"license": "110938",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "1225131964",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0124191",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225131964",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS Pharmacy #04946",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Aliceville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.