Active NPI
Washington CVS Pharmacy LLC
- Pharmacy
- Spokane, WA
National Provider Identifier
1730102567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- WASHINGTON CVS PHARMACY LLC
- Practice address
- 2929 East 29TH Avenue
Lincoln Heights Shopping Center
Spokane, WA 99223-4811 - Phone
- (509) 535-9056
- NPI assigned
- Jul 25, 2006
- 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, Payer Relations
- Phone
- (401) 765-1500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
2929 East 29TH Avenue
Lincoln Heights Shopping Center
Spokane, WA 99223-4811
Mailing address
1 CVS Dr
Woonsocket, RI 02895-6146
Other names 1
- CVS Pharmacy #11683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040831000323 | WA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7719979095 | This NPI is an additional NPI on the enrollment |
| O20150505002664 | WA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8224259734 |
This NPI is an additional NPI on the enrollment Practice locations: Puyallup, WA; Redmond, WA; Renton, WA; Richland, WA; Seattle, WA; Silverdale, WA; Spokane, WA; Tacoma, WA… |
| O20251027002477 | WA | DME Supplier - Pharmacy | 8224259734 | Practice locations: Spokane, WA |
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 |
|---|---|---|---|
| 50D2328928 | CVS Pharmacy #11683 | Certificate of waiver | Apr 4, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy #11683 | Immunosuppressive 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|Urological Supplies|Ent… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Washinton 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.
-
- Pharmacist
- Renton, WA
- NPI 1700242740
-
- Pharmacy
- Lake Stevens, WA
- NPI 1548282239
-
- Pharmacy
- Vancouver, WA
- NPI 1548330517
-
- Pharmacy
- Tacoma, WA
- NPI 1558377838
-
- Pharmacy
- Kent, WA
- NPI 1568484251
-
- Pharmacy
- Vancouver, WA
- NPI 1578585261
-
- Pharmacy
- Marysville, WA
- NPI 1588772180
-
- Pharmacy
- Kirkland, WA
- NPI 1619089596
-
- Pharmacy
- Spokane, WA
- NPI 1639191323
-
- Pharmacy
- Kelso, WA
- NPI 1659393346
-
- Pharmacy
- Bellevue, WA
- NPI 1669584645
-
- Pharmacy
- Sammamish, WA
- NPI 1689781353
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
2929 E 29th Ave
Spokane, WA 99223
Phone (509) 535-9044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755216000000",
"number": "1730102567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 EAST 29TH AVENUE",
"address_2": "LINCOLN HEIGHTS SHOPPING CENTER",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992234811",
"telephone_number": "509-535-9056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHINGTON CVS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"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 #11683",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.