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CVS PHARMACY #
NPI 1053505198
Pharmacy - Community/Retail Pharmacy in Mentor, OH

Active since August 31, 2007CLIA 36D2255636 · Waiver
9669 MENTOR AVE, MENTOR, OH 44060(440) 210-5054(440) 210-5064 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2016, Jan 11, 2016 (2 updates tracked since 2016).

About Cvs Pharmacy # NPPES

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

CVS PHARMACY # (NPI 1053505198) is a healthcare organization registered as a community/retail pharmacy in Mentor, Ohio and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through March 15, 2028 and lists Susan Colbert, Sr. Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1053505198
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameOHIO CVS STORES LLC
Location Address9669 MENTOR AVEMentor, OH 44060-4528
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(440) 210-5054
Fax(440) 210-5064
Organization SubpartNo
Authorized OfficialSusan ColbertSr. Director, Payer Relations · (401) 770-2751
Enumeration DateAugust 31, 2007
Last NPPES UpdateAugust 25, 20162 updates tracked since enumeration
✔ NPI 1053505198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in OH · RTPC.022572250-03
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
9669 MENTOR AVE, Mentor, OH 44060
Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy #

Other Identifiers 1

Other2081059Pk

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 36D2255636

Ohio CVS Stores, LLC Dba Cvs/Pharmacy #03326 · Mentor, OH
Active · expires Mar 15, 2028
CLIA Number36D2255636
Laboratory TypePharmacy
Certificate Effective DateMarch 16, 2026
Certificate Expiration DateMarch 15, 2028
Laboratory DirectorDevrajsinh Solanki
Laboratory Phone(866) 389-2727
Laboratory LocationOhio CVS Stores, LLC Dba Cvs/Pharmacy #033269040 Mentor Ave, Mentor, OH 44060
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 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.
133 services131 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.
108 services108 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.
17 services17 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #17388 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #17388

DMEPOS supplier · Mentor, OHOperated by Ohio CVS Stores LLC
⋮

Does not accept Medicare assignment

CVS Pharmacy #17388 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20444837
Medicare Participant SinceJanuary 1, 2019
Supplier Location9669 Mentor AveMentor, OH 44060
Phone(440) 210-5054
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 4

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

ANDREW SKOUBY PHARMD
Pharmacist
9669 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 210-5054
MR. MICHAEL D PANZARELLA
Pharmacist
9669 MENTOR AVE, T-2322
MENTOR, OH 44060
Lake County (440) 210-5054
MRS. MICHELLE MARIE VOGLER RPH
Pharmacist
9669 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 210-5054
DR. JEANETTE BECKER PHARM.D.
Pharmacist
9669 MENTOR AVE, T2322
MENTOR, OH 44060
Lake County (440) 210-5054

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 Ohio CVS Stores LLC's NPI number?

The NPI number for Ohio CVS Stores LLC is 1053505198. It was assigned to this organization in the NPPES registry on August 31, 2007. The provider is doing business as CVS Pharmacy #.

Where is Ohio CVS Stores LLC located?

Ohio CVS Stores LLC is located at 9669 Mentor Ave, Mentor, OH 44060. The listed phone number is (440) 210-5054.

What is Ohio CVS Stores LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Ohio CVS Stores LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, CVS Pharmacy #17388 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Ohio CVS Stores LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2255636) is associated with this NPI, valid through March 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ohio CVS Stores 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 33 other insurers list Ohio CVS Stores 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 Ohio CVS Stores LLC was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.