NPIMap

Organization Active NPI

Nebraska CVS Pharmacy LLC

Doing business as CVS Pharmacy #

  • Community/Retail Pharmacy
  • Lincoln, NE
National Provider Identifier
1750599296
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3080 Issued in NE
Legal business name
NEBRASKA CVS PHARMACY LLC
Doing business as
CVS Pharmacy #
Practice address
8201 S 40TH St
Lincoln, NE 68516-3005
Phone
(402) 420-3541
Fax
(402) 420-3551
NPI assigned
May 18, 2007
Last updated
Aug 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Colbert
Title
Sr. Director, Payer Relations
Phone
(401) 770-2751

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 3080 NE Primary

Addresses

Primary practice location

8201 S 40TH St
Lincoln, NE 68516-3005

Mailing address

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

Other names 1

  • CVS Pharmacy # Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100908000268 NE Part B Supplier - Mass Immunization (Roster Biller Only) 7416071881 29 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Norfolk, NE; Omaha, NE; Grand Island, NE; Papillion, NE; Kearney, NE; Lincoln, NE; Bellevue, NE; Columbus, NE…
O20161116002880 NE DME Supplier - Pharmacy 7416071881 Practice locations: Lincoln, NE

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 24

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

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 #173718201 S 40TH St, Lincoln, NE 68516-3005(402) 420-3541 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
Nebraska CVS Pharmacy LLC25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Member of 1

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

Locations (25 of 36)

1701 Galvin Rd S
Bellevue, NE 68005
Phone (402) 292-2685

3808 Twin Creek Dr
Bellevue, NE 68123
Phone (402) 291-6779

3808 Twin Creek Dr
#16867
Bellevue, NE 68123
Phone (402) 291-6779

2307 23rd St
Columbus, NE 68601
Phone (402) 564-5105

1710 W 2nd St
Grand Island, NE 68803
Phone (308) 384-4089

1710 W 2nd St
#10243
Grand Island, NE 68803
Phone (308) 384-4089

4800 3rd Ave
#16297
Kearney, NE 68845
Phone (308) 237-2002

6901 S 84th St
La Vista, NE 68128
Phone (402) 339-1090

130 N 66th St
#B
Lincoln, NE 68505
Phone (402) 467-5342

130 N 66th St
Ste B
Lincoln, NE 68505
Phone (402) 467-5342

1401 Superior St
Lincoln, NE 68521
Phone (402) 477-9200

1411 Superior St
#8615
Lincoln, NE 68521
Phone (402) 477-9200

1550 South St
#L
Lincoln, NE 68502
Phone (402) 477-0397

2711 S 48th St
Lincoln, NE 68506
Phone (402) 484-5777

333 N 48th St
Lincoln, NE 68504
Phone (402) 464-8066

333 N 48th St
#16055
Lincoln, NE 68504
Phone (402) 464-8066

4800 W O St
Lincoln, NE 68528
Phone (402) 467-1134

4808 O St
Lincoln, NE 68510
Phone (402) 467-1134

5611 S 27th St
Lincoln, NE 68512
Phone (402) 420-0318

7002 O St
#8626
Lincoln, NE 68510
Phone (402) 489-6399

8201 S 40th St
#17371
Lincoln, NE 68516
Phone (402) 420-3541

1301 W Norfolk Ave
#10293
Norfolk, NE 68701
Phone (402) 371-9438

10770 Fort St
Omaha, NE 68134
Phone (402) 493-3257

12500 K Plz
#17446
Omaha, NE 68137
Phone (402) 334-3436

14303 U St
Omaha, NE 68137
Phone (402) 430-3550

Practitioners & affiliated clinicians

Practitioners 48

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 48

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1750599296",
    "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": "8201 S 40TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163005",
            "telephone_number": "402-420-3541",
            "fax_number": "402-420-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR. DIRECTOR, PAYER RELATIONS",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "3080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS Pharmacy #",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.