CVS PHARMACY #04197
NPI 1053414813
Pharmacy in Fletcher, NC

Active since September 07, 2006CLIA 34D2283592 · Waiver
3450 HENDERSONVILLE RD, FLETCHER, NC 28732(828) 684-2331 Get Directions Write a Review

NPPES record last updated: June 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy #04197 NPPES

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

CVS PHARMACY #04197 (NPI 1053414813) is a healthcare organization registered as a pharmacy in Fletcher, North Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1053414813
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameNORTH CAROLINA CVS PHARMACY LLC
Location Address3450 HENDERSONVILLE RDFletcher, NC 28732-8234
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJune 3, 2011
NPI 1053414813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in NC · 6540
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
3450 HENDERSONVILLE RD, Fletcher, NC 28732

Other Names 1

Doing Business AsCvs Pharmacy #04197

Other Identifiers 3

Medicare NSC5640830127
Other3402980Other Id Number-commercial Number
Medicare PIN2801239

Accepted 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 34D2283592

North Carolina CVS Pharmacy, LLC Dba Cvs/Pharmacy #04197 · Fletcher, NC
Active · expires Jun 8, 2027
CLIA Number34D2283592
Laboratory TypePharmacy
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorAlyssa Loverde
Laboratory Phone(828) 684-2331
Laboratory LocationNorth Carolina CVS Pharmacy, LLC Dba Cvs/Pharmacy #041973450 Hendersonville Rd, Fletcher, NC 28732
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
196 services196 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.
100 services100 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.
92 services92 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #04197 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #04197

DMEPOS supplier · Fletcher, NCOperated by North Carolina CVS Pharmacy LLC

Accepts Medicare assignment

CVS Pharmacy #04197 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)20320403
Medicare Participant SinceJanuary 1, 2023
Supplier Location3450 Hendersonville RdFletcher, NC 28732
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
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
3450 HENDERSONVILLE RD
FLETCHER, NC 28732
Pharmacist
3450 HENDERSONVILLE RD
FLETCHER, NC 28732
Pharmacist
3450 HENDERSONVILLE RD
FLETCHER, NC 28732

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 North Carolina CVS Pharmacy LLC's NPI number?

The NPI number for North Carolina CVS Pharmacy LLC is 1053414813. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as CVS Pharmacy #04197.

Where is North Carolina CVS Pharmacy LLC located?

North Carolina CVS Pharmacy LLC is located at 3450 Hendersonville Rd, Fletcher, NC 28732. The listed phone number is (828) 684-2331.

What is North Carolina CVS Pharmacy LLC's specialty?

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

Does North Carolina CVS Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #04197 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does North Carolina CVS Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2283592) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Carolina CVS Pharmacy LLC 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 32 other insurers list North Carolina CVS Pharmacy LLC 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 North Carolina CVS Pharmacy LLC was last updated on June 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.