NPIMap

Organization Active NPI

Louisiana CVS Pharmacy LLC

Doing business as CVS Pharmacy #17881

  • Pharmacy
  • Mandeville, LA
National Provider Identifier
1619695848
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LOUISIANA CVS PHARMACY LLC
Doing business as
CVS Pharmacy #17881
Practice address
3450 Highway 190 Ste 2
Mandeville, LA 70471-3196
Phone
(985) 377-7247
NPI assigned
Aug 15, 2022
Last updated
Dec 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Addresses

Primary practice location

3450 Highway 190 Ste 2
Mandeville, LA 70471-3196

Mailing address

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

Other names 1

  • CVS Pharmacy #17881 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101011000003 LA Part B Supplier - Mass Immunization (Roster Biller Only) 7113120312 This NPI is an additional NPI on the enrollment
O20221212001575 LA DME Supplier - Pharmacy 7113120312 Practice locations: Mandeville, LA

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 #178813450 Highway 190, Mandeville, LA 70471-3196(985) 377-7247 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
Louisiana CVS Pharmacy120 organizations share this tax ID, including this one

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.

View all 24

Member of 1

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

Locations (25 of 169)

1100 Veterans Memorial Dr
#5275
Abbeville, LA 70510
Phone (337) 893-0592

2108 Charity St
Abbeville, LA 70510
Phone (337) 893-0592

4443 Jackson St
#5607
Alexandria, LA 71303
Phone (318) 448-1683

721 Bolton Ave
Alexandria, LA 71301
Phone (318) 443-8405

2800 Highway 90 W
#5543
Avondale, LA 70094
Phone (504) 436-7555

2850 Highway 90 W
Avondale, LA 70094
Phone (504) 436-7555

2850 Highway 90 W
#5543
Avondale, LA 70094
Phone (504) 436-7555

1214 Main St
Baker, LA 70714
Phone (225) 778-1843

252 Main St
Baker, LA 70714

11430 Florida Blvd
Baton Rouge, LA 70815
Phone (225) 275-3076

11705 Coursey Blvd
Baton Rouge, LA 70816
Phone (225) 291-0536

11705 Coursey Blvd
#5510
Baton Rouge, LA 70816
Phone (225) 291-0596

12880 Airline Hwy
#8961
Baton Rouge, LA 70817
Phone (225) 751-3611

14360 Wax Rd
Baton Rouge, LA 70818
Phone (225) 261-6541

14360 Wax Rd
#5374
Baton Rouge, LA 70818
Phone (225) 261-6541

2001 Millerville Rd
#17177
Baton Rouge, LA 70816
Phone (225) 275-2109

2520 Plank Rd
Baton Rouge, LA 70805
Phone (225) 357-1484

2520 Plank Rd
#5615
Baton Rouge, LA 70805
Phone (225) 357-1484

3200 Highland Rd
Baton Rouge, LA 70802
Phone (225) 388-9939

3200 Highland Rd
#4761
Baton Rouge, LA 70802
Phone (225) 388-9939

3384 Government St
Baton Rouge, LA 70806
Phone (225) 387-5600

5360 Highland Rd
#8309
Baton Rouge, LA 70808
Phone (225) 757-1023

5889 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 355-2040

6885 Siegen Ln
#16708
Baton Rouge, LA 70809
Phone (225) 293-0652

7401 Florida Blvd
Baton Rouge, LA 70806
Phone (225) 928-8982

Practitioners & affiliated clinicians

Practitioners 460

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 460

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1619695848",
    "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": "3450 HIGHWAY 190 STE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713196",
            "telephone_number": "985-377-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "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": 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 #17881",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CVS Pharmacy #17881",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.