Pharmacy in Trussville, AL

NPI 1063515799 Organization Pharmacy Medicare Supplier Does Not Accept Medicare Approved Payment


Cvs Pharmacy #04891 (alabama Cvs Pharmacy, L.l.c.) is a provider established in Trussville, Alabama specializing in pharmacy. The NPI number of Cvs Pharmacy #04891 (alabama Cvs Pharmacy, L.l.c.) is 1063515799 and was assigned on September 2006. The practitioner's primary taxonomy code is 333600000X with license number 110879 (AL). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Cvs Pharmacy #04891. The authorized official of this NPI record is Cristiana Mauricio (Mgr Phcy Enrollments)

Cvs Pharmacy #04891 is a medicare supplier with PTAN 5613080114 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Immunosuppressive Drugs or Parenteral Equipment and/or Supplies or Commodes, Urinals, Bedpans or Oral Anticancer Drugs or Heat & Cold Applications or Blood Glucose Monitors/Supplies (Non-Mail Order) or Canes and/or Crutches or Urological Supplies or Ostomy Supplies or Oral Antiemetic Drugs or Parenteral Nutrients or Blood Glucose Monitors/Supplies (Mail Order) or Nebulizer Drugs or Walkers or Enteral Equipment and/or Supplies or Enteral Nutrients or Nebulizer Equipment and/or Supplies or Surgical Dressings.



Provider Location Address315 MAIN ST TRUSSVILLE, AL 35173
Provider Mailing Address1 CVS DR PO BOX 1075 WOONSOCKET, RI 02895
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCVS PHARMACY #04891
Other Name TypeDoing Business As (3)
Enumeration Date09-07-2006
Last Update Date01-15-2015

Primary Taxonomy

Taxonomy Code333600000X
License No.110879
License StateAL
Taxonomy DescriptionA 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.

Business Address

ZIP 35173
Phone: (205) 655-8804

Get Directions

Mailing Address

PO BOX 1075
ZIP 02895
Phone: (401) 765-1500

Authorized Official

Authorized Official Name CRISTIANA MAURICIO
Authorized Official TitleMGR PHCY ENROLLMENTS
Authorized Official Phone(401) 770-2937

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

Accepts Medicare AssignmentNO
Specialities ListPharmacy.
Supplies List
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Parenteral Equipment and/or Supplies - Parenteral infusion pumps, parenteral nutrition supply kits
  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • 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
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Urological Supplies - Catheters, Urinary collection devices
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Parenteral Nutrients - Parenteral nutrient solutions
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Enteral Nutrients - Enteral formula
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
Competitive BiddingNO

Secondary Taxonomies

The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1332B00000XSuppliersDurable Medical Equipment & Medical SuppliesNo

Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

23336C0003XSuppliersPharmacyCommunity/Retail PharmacyNo

Taxonomy Description: 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.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
P00754161OTHER (01)
1063515799MEDICAID (05)AL
510G730021MEDICARE PIN (08)
0116334OTHER (01)
1063515799OTHER (01)AL
5613080114MEDICARE NSC (07)

Other Providers at the same location

The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
Pharmacist315 MAIN ST
(205) 655-8804
1366046732DR. JUSTIN SMITH
Pharmacist315 MAIN ST
(205) 655-8804
1609470707 WENDY AARON
Pharmacist315 MAIN ST
(205) 655-8804

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.