NPIMap

Organization Active NPI

Arkansas CVS Pharmacy LLC

Doing business as CVS Pharmacy #10975

  • Pharmacy
  • North Little Rock, AR
National Provider Identifier
1760951602
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ARKANSAS CVS PHARMACY LLC
Doing business as
CVS Pharmacy #10975
Practice address
2501 McCain Blvd
North Little Rock, AR 72116-7606
Phone
(501) 404-6059
NPI assigned
Nov 21, 2018
Last updated
Jan 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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) 770-2751

Specialties & licenses 3

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

Addresses

Primary practice location

2501 McCain Blvd
North Little Rock, AR 72116-7606

Mailing address

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

Other names 1

  • CVS Pharmacy #10975 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130123000342 AR Part B Supplier - Mass Immunization (Roster Biller Only) 9436301546 24 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Little Rock, AR; North Little Rock, AR; Paragould, AR; Pringdale, AR; Rogers, AR; Russellville, AR; Sherwood, AR; Texarkana, AR…
O20190221002713 AR DME Supplier - Pharmacy 9436301546 Practice locations: North Little Rock, AR

Other NPIs with the same Medicare PAC ID 22

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

View all 22

Other NPIs on the same Medicare enrollment 22

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

View all 22

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 #109752501 McCain Blvd, North Little Rock, AR 72116-7606(501) 404-6059 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
Arkansas CVS Pharmacy LLC23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Member of 1

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

Locations (25 of 34)

2833 Bella Vista Way
Bella Vista, AR 72714
Phone (479) 876-2153

2833 Bella Vista Way
#10408
Bella Vista, AR 72714
Phone (479) 876-2153

609 Military Rd
Benton, AR 72015
Phone (501) 860-6478

609 Military Rd
#10431
Benton, AR 72015
Phone (501) 860-6478

3220 N Reynolds Rd
#10432
Bryant, AR 72022
Phone (501) 847-0803

7377 Alcoa Rd
#17282
Bryant, AR 72022
Phone (501) 776-4361

501 Elsinger Blvd
#17011
Conway, AR 72032
Phone (501) 328-5316

825 Oak St
#10518
Conway, AR 72032
Phone (501) 336-8684

2402 N College Ave
#10409
Fayetteville, AR 72703
Phone (479) 251-1872

3545 N Shiloh Dr
#16802
Fayetteville, AR 72703
Phone (479) 443-5628

4001 Phoenix Ave
Fort Smith, AR 72903
Phone (479) 709-8941

4001 Phoenix Ave
#17357
Fort Smith, AR 72903
Phone (479) 709-8941

3630 Central Ave
#10539
Hot Springs, AR 71913
Phone (501) 620-4332

110 Southwest Dr
Jonesboro, AR 72401
Phone (870) 268-1743

110 Southwest Dr
#10666
Jonesboro, AR 72401
Phone (870) 268-1743

1122 S University Ave
Little Rock, AR 72204
Phone (501) 660-4470

1122 S University Ave
#10779
Little Rock, AR 72204
Phone (501) 660-4470

12700 Chenal Pkwy
#16486
Little Rock, AR 72211
Phone (501) 707-1996

420 S University Ave
#17611
Little Rock, AR 72205
Phone (501) 801-3413

8902 Geyer Springs Rd
Little Rock, AR 72209
Phone (501) 565-9312

8902 Geyer Springs Rd
#10534
Little Rock, AR 72209
Phone (501) 565-9312

2501 McCain Blvd
North Little Rock, AR 72116
Phone (501) 404-6059

2501 McCain Blvd
#10975
North Little Rock, AR 72116
Phone (501) 404-6059

1501 W Kings Hwy
#10678
Paragould, AR 72450
Phone (870) 240-8405

1749 W Walnut St
Rogers, AR 72756
Phone (479) 246-0871

Practitioners & affiliated clinicians

Practitioners 49

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 49

NPI Registry JSON

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1760951602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR # 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": "2501 MCCAIN BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167606",
            "telephone_number": "501-404-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS CVS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2019-01-09",
        "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": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CVS Pharmacy #10975",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CVS Pharmacy #10975",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.