Active NPI
Alabama CVS Pharmacy, L.L.C.
Doing business as CVS Pharmacy #04867
- Pharmacy
- Alabaster, AL
National Provider Identifier
1952404683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 110854
- Legal business name
- ALABAMA CVS PHARMACY, L.L.C.
- Doing business as
- CVS Pharmacy #04867
- Practice address
- 520 Highway 119 S
Alabaster, AL 35007-8511 - Phone
- (205) 663-5406
- NPI assigned
- Sep 7, 2006
- Last updated
- Feb 27, 2024
- 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 Colbert
- Title
- Director, Payer Relations
- Phone
- (401) 770-2751
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 110854 | AL | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
520 Highway 119 S
Alabaster, AL 35007-8511
Mailing address
1 CVS Dr
Box 1075
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119520 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 1952404683 | Medicaid | AL |
Other names 1
- CVS Pharmacy #04867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081211000091 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 1254492069 | This NPI is an additional NPI on the enrollment |
| O20100930083394 | AL | DME Supplier - Pharmacy | 1254492069 | Practice locations: Alabaster, AL |
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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CVS Pharmacy # 04867 | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Alabama CVS Pharmacy LLC
Organizations with this tax ID in the same state 22
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba CVS Pharmacy # 04877
- Durable Medical Equipment & Medical Supplies
- Mobile, AL
- NPI 1942303672
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
11055 Highway 119 S
Alabaster, AL 35007
Phone (205) 663-5405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708992000000",
"number": "1952404683",
"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": "520 HIGHWAY 119 S",
"city": "ALABASTER",
"state": "AL",
"postal_code": "350078511",
"telephone_number": "205-663-5406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALABAMA CVS PHARMACY, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "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": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AL",
"license": "110854",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0119520",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952404683",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CVS Pharmacy #04867",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Alabaster, AL
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- Alabama Cardiovascular Specialists
- Alabama CVS Pharmacy LLC (CVS Pharmacy #17350)
- Alabama Dental Professionals, PC (Buck Creek Family Dental)
- Alabama Family Medicine Clinic LLC
- Alabama Family Medicine, P.C.
- Alabama Sleep Solutions LLC
- Alabama Vascular Solutions , LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.