Organization Active NPI

CVS Albany LLC

Doing business as CVS Pharmacy #11486

  • Pharmacy
  • Brooklyn, RI
National Provider Identifier
1679459481
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CVS ALBANY LLC
Doing business as
CVS Pharmacy #11486
Practice address
130 5TH Avenue
Brooklyn, RI 11217
Phone
(401) 765-1500
NPI assigned
Aug 15, 2025
Last updated
Sep 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 Payer Relations
Phone
(401) 765-1500

Specialties & licenses 3

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

Addresses

Primary practice location

130 5TH Avenue
Brooklyn, RI 11217

Mailing address

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

Other names 1

  • CVS Pharmacy #11486 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20091103000102 NY Part B Supplier - Mass Immunization (Roster Biller Only) 0941347421 This NPI is an additional NPI on the enrollment
O20251125003152 NY DME Supplier - Pharmacy 0941347421 Practice locations: Brooklyn, NY
O20260501002874 NY Part B Supplier - Pharmacy 0941347421 This NPI is an additional NPI on the enrollment
Practice locations: Lindenhurst, NY

National Provider Directory

National Provider Directory
Tax ID family
Cvscaremark525 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

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

Member of 2

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

Locations (25 of 590)

1026 Madison Ave
Albany, NY 12208
Phone (518) 489-8516

1170 Western Ave
Albany, NY 12203
Phone (518) 459-0795

153 Central Ave
Albany, NY 12206
Phone (518) 463-1362

2040 Western Ave
Albany, NY 12203
Phone (518) 869-0249

2040 Western Ave
#155
Albany, NY 12203
Phone (518) 869-0657

415 Delaware Ave
Albany, NY 12209
Phone (518) 463-2986

613 New Scotland Ave
Albany, NY 12208
Phone (518) 482-4996

885 Central Ave
Albany, NY 12206
Phone (518) 459-4550

1575 Niagara Falls Blvd
#16399
Amherst, NY 14228
Phone (716) 831-8662

20 Merrick Rd
Amityville, NY 11701
Phone (631) 691-0428

20 Merrick Rd
#4121
Amityville, NY 11701
Phone (631) 691-0428

355 Broadway
#553
Amityville, NY 11701
Phone (631) 842-4647

100 Amsterdam Cmns
#17514
Amsterdam, NY 12010
Phone (518) 770-7181

725 Saw Mill River Rd
#300
Ardsley, NY 10502
Phone (914) 693-9191

2208 31st St
Astoria, NY 11105
Phone (718) 204-5511

668 Sunrise Hwy
Baldwin, NY 11510
Phone (516) 867-6260

668 Sunrise Hwy
#5438
Baldwin, NY 11510
Phone (516) 867-6260

944 Merrick Rd
Baldwin, NY 11510
Phone (516) 223-1604

944 Merrick Rd
#2073
Baldwin, NY 11510
Phone (516) 223-1604

951 Atlantic Ave
Baldwin, NY 11510
Phone (516) 223-8233

951 Atlantic Ave
#4611
Baldwin, NY 11510
Phone (516) 223-8233

4300 Veterans Memorial Dr
Batavia, NY 14020
Phone (585) 300-2046

4300 Veterans Memorial Dr
#17445
Batavia, NY 14020
Phone (585) 300-2046

1401 5th Ave
#2836N
Bay Shore, NY 11706
Phone (631) 665-8249

1401 5th Ave
#9
Bay Shore, NY 11706
Phone (631) 665-8249

Practitioners & affiliated clinicians

Practitioners 1,794

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 1,794

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1679459481",
    "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": "02895",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 5TH AVENUE",
            "city": "BROOKLYN",
            "state": "RI",
            "postal_code": "11217",
            "telephone_number": "401-765-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS ALBANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SR. DIRECTOR PAYER RELATIONS",
        "authorized_official_telephone_number": "401-765-1500"
    },
    "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 #11486",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.