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CVS PHARMACY #05983
NPI 1013142074
Pharmacy in Prescott Valley, AZ

Active since May 20, 2009CLIA 03D2259817 · Waiver
3025 N. WINDSONG DRIVE, PRESCOTT VALLEY, AZ 86314(928) 772-1613 Get Directions Write a Review

NPPES record last updated: August 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cvs Pharmacy #05983 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY #05983 (NPI 1013142074) is a healthcare organization registered as a pharmacy in Prescott Valley, Arizona and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through May 10, 2028 and lists Susan F Colbert, Director, Managed Care Admin, as its authorized official.

NPPES Registry Identity

NPI1013142074
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameARIZONA CVS STORES, L.L.C.
Location Address3025 N. WINDSONG DRIVEPrescott Valley, AZ 86314
Mailing Address1 Cvs Dr, Box 1075 - Pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108
Phone(928) 772-1613
Organization SubpartNo
Authorized OfficialSusan F ColbertDirector, Managed Care Admin · (401) 770-2751
Enumeration DateMay 20, 2009
Last NPPES UpdateAugust 23, 2010
✔ NPI 1013142074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
3025 N. WINDSONG DRIVE, Prescott Valley, AZ 86314
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Other Names 1

Doing Business AsCvs Pharmacy #05983

Other Identifiers 4

Medicare NSC5722810058
Other0356166Ncpdp
Medicare PINZ138401
Medicaid450326AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2259817

Arizona CVS Stores, LLC Dba Cvs/Pharmacy #05983 · Prescott Valley, AZ
Active · expires May 10, 2028
CLIA Number03D2259817
Laboratory TypePharmacy
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorWilliam Collins
Laboratory Phone(866) 389-2727
Laboratory LocationArizona CVS Stores, LLC Dba Cvs/Pharmacy #059833025 N Windsong Dr, Prescott Valley, AZ 86314
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
751 services743 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
525 services525 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
192 services192 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
55 services55 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
49 services49 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #05983 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #05983

DMEPOS supplier · Prescott Valley, AZOperated by Arizona CVS Stores LLC
✔

Accepts Medicare assignment

CVS Pharmacy #05983 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20324063
Medicare Participant SinceJanuary 1, 2023
Supplier Location3025 N Windsong DrPrescott Valley, AZ 86314
Phone(928) 772-1613
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arizona CVS Stores, L.L.C.'s NPI number?

The NPI number for Arizona CVS Stores, L.L.C. is 1013142074. It was assigned to this organization in the NPPES registry on May 20, 2009. The provider is doing business as CVS Pharmacy #05983.

Where is Arizona CVS Stores, L.L.C. located?

Arizona CVS Stores, L.L.C. is located at 3025 N. Windsong Drive, Prescott Valley, AZ 86314. The listed phone number is (928) 772-1613.

What is Arizona CVS Stores, L.L.C.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Arizona CVS Stores, L.L.C. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #05983 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Arizona CVS Stores, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2259817) is associated with this NPI, valid through May 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Arizona CVS Stores, L.L.C. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list Arizona CVS Stores, L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Arizona CVS Stores, L.L.C. was last updated on August 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.