CVS PHARMACY #03894
NPI 1053493163
Pharmacy in San Antonio, TX

Q: What is CVS Pharmacy, Inc.'s NPI number?

The NPI number for CVS Pharmacy, Inc. is 1053493163. It was assigned to this organization in the NPPES registry on October 19, 2006. The provider is doing business as CVS Pharmacy #03894.

Q: What is CVS Pharmacy, Inc.'s specialty?

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

Active since October 19, 2006CLIA 45D2256211 · Waiver

120 E SONTERRA BLVD, SAN ANTONIO, TX 78258(210) 404-9006(401) 770-7108 Get Directions Write a Review

NPPES record last updated: October 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cvs Pharmacy #03894 NPPES

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

CVS PHARMACY #03894 (NPI 1053493163) is a healthcare organization registered as a pharmacy in San Antonio, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 21, 2028 and lists Susan Colbert, Manager, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1053493163

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameCVS PHARMACY, INC.

Location Address120 E SONTERRA BLVDSan Antonio, TX 78258-6425

Mailing Address1 Cvs Dr, Box 1075-pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108

Phone(210) 404-9006

Fax(401) 770-7108

Organization SubpartNo

Authorized OfficialSusan ColbertManager, Payer Relations · (401) 770-2751

Enumeration DateOctober 19, 2006

Last NPPES UpdateOctober 18, 2010

✔ NPI 1053493163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in TX · 25207

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

120 E SONTERRA BLVD, San Antonio, TX 78258

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Other Names 1

Doing Business AsCvs Pharmacy #03894

Other Identifiers 4

Medicare PINPH0708

Medicare NSC1284730477

Other4542711Commercial Number

Medicaid466338TX

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 45D2256211

CVS Pharmacy, Inc Dba Cvs/Pharmacy #08978 · San Antonio, TX

Active · expires Mar 21, 2028

CLIA Number45D2256211

Laboratory TypePharmacy

Certificate Effective DateMarch 22, 2026

Certificate Expiration DateMarch 21, 2028

Laboratory DirectorTracy Volker

Laboratory Phone(866) 389-2727

Laboratory LocationCVS Pharmacy, Inc Dba Cvs/Pharmacy #0897820203 Stone Oak Pkwy, San Antonio, TX 78258

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.

188 services188 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.

154 services154 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.

24 services24 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.

23 services22 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.

20 services20 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #03894 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #03894

DMEPOS supplier · San Antonio, TXOperated by CVS Pharmacy Inc

✔

Accepts Medicare assignment

CVS Pharmacy #03894 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)20316143

Medicare Participant SinceJanuary 1, 2023

Supplier Location120 E Sonterra BlvdSan Antonio, TX 78258

Phone(210) 404-9006

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.

Other Providers at the Same Location NPPES 11

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

LAUREN CLARK FNP

Nurse Practitioner (Family)