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CVS PHARMACY #02002
NPI 1053415802
Pharmacy in E Stroudsburg, PA

Active since September 12, 2006
239 FOX RUN LANE, E STROUDSBURG, PA 18302(570) 223-6893 Get Directions Write a Review

NPPES record last updated: February 23, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cvs Pharmacy #02002 NPPES

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

CVS PHARMACY #02002 (NPI 1053415802) is a healthcare organization registered as a pharmacy in E Stroudsburg, Pennsylvania and active in the NPI registry since September 2006. The organization lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1053415802
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePENNSYLVANIA CVS PHARMACY, L.L.C.
Location Address239 FOX RUN LANEE Stroudsburg, PA 18302-9120
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(570) 223-6893
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 12, 2006
Last NPPES UpdateFebruary 23, 2015
✔ NPI 1053415802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in PA · PP415044L
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
239 FOX RUN LANE, E Stroudsburg, PA 18302
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Other Names 1

Doing Business AsCvs Pharmacy #02002

Other Identifiers 4

Other3970123Other Id Number-commercial Number
Medicare NSC5619370030PA
Medicare PIN120568
Medicare PINP00979144PA

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 ›

Areas of Expertise CMS Part B claims 2

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.
184 services181 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.
162 services162 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #02002 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #02002

DMEPOS supplier · East Stroudsburg, PAOperated by Pennsylvania CVS Pharmacy LLC
✔

Accepts Medicare assignment

CVS Pharmacy #02002 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)20342867
Medicare Participant SinceJanuary 1, 2023
Supplier Location239 Fox Run LnEast Stroudsburg, PA 18302
Phone(570) 223-6892
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 Pennsylvania CVS Pharmacy, L.L.C.'s NPI number?

The NPI number for Pennsylvania CVS Pharmacy, L.L.C. is 1053415802. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as CVS Pharmacy #02002.

Where is Pennsylvania CVS Pharmacy, L.L.C. located?

Pennsylvania CVS Pharmacy, L.L.C. is located at 239 Fox Run Lane, E Stroudsburg, PA 18302. The listed phone number is (570) 223-6893.

What is Pennsylvania CVS Pharmacy, L.L.C.'s specialty?

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

Does Pennsylvania CVS Pharmacy, L.L.C. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #02002 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Pennsylvania CVS Pharmacy, 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 32 other insurers list Pennsylvania CVS Pharmacy, 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 Pennsylvania CVS Pharmacy, L.L.C. was last updated on February 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.