Active NPI
Alabama CVS Pharmacy, L.L.C.
Doing business as CVS Pharmacy #04839
- Pharmacy
- Pell City, AL
National Provider Identifier
1598868317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 110827
- Legal business name
- ALABAMA CVS PHARMACY, L.L.C.
- Doing business as
- CVS Pharmacy #04839
- Practice address
- 118 Comer Ave
Pell City, AL 35125-1750 - Phone
- (205) 338-2628
- Fax
- (205) 814-9654
- NPI assigned
- Sep 7, 2006
- Last updated
- Feb 26, 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 F Colbert
- Title
- Sr Director
- Phone
- (401) 770-2751
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 110827 | AL | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
118 Comer Ave
Pell City, AL 35125-1750
Mailing address
1 CVS Dr
PO Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598868317 | Other | AL | DME |
| 0111269 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| P00754161 | Other | MEDICARE RR | |
| 1598868317 | Medicaid | AL |
Other names 1
- CVS Pharmacy #04839
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 |
| O20100930020249 | AL | DME Supplier - Pharmacy | 1254492069 | Practice locations: Pell City, 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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #04839 | 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 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.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
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
- Pell City, AL
- NPI 1144824665
-
- Pharmacist
- Pell City, AL
- NPI 1952905085
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": "1708905600000",
"number": "1598868317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"address_2": "PO 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": "118 COMER AVE",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351251750",
"telephone_number": "205-338-2628",
"fax_number": "205-814-9654"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALABAMA CVS PHARMACY, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"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": "401-770-2751"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AL",
"license": "110827",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "1598868317",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0111269",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00754161",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598868317",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS Pharmacy #04839",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pell City, AL
- Acadian Family Medicine Inc
- Victoria P Adaway, CNS
- Affordable Dentures - Pell City/Eden, P.C.
- Sean Bradley Ahonen, ATC
- Alabama Anesthesiology and Pain Consultants P.C.
- Alabama Health Services St Clair LLC (Alabama Health Services St Clair Anesthesia)
- James Allen, PHARMD
- Jeremy Allen, D.O.
- Dyan Cristyn Alvarez, MD
- Always There Pell City LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.