CVS PHARMACY # 01805
NPI 1063709442
Pharmacy in Coatesville, PA

Active since July 06, 2011CLIA 39D2282291 · Waiver
101 REECESVILLE RD., COATESVILLE, PA 19320(610) 466-7166 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cvs Pharmacy # 01805 NPPES

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

CVS PHARMACY # 01805 (NPI 1063709442) is a healthcare organization registered as a pharmacy in Coatesville, Pennsylvania and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Susan F Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1063709442
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePENNSYLVANIA CVS PHARMACY LLC
Location Address101 REECESVILLE RD.Coatesville, PA 19320
Mailing Address1 Cvs Dr, P.o. Box 1075-enrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108
Organization SubpartNo
Authorized OfficialSusan F ColbertDirector · (401) 765-1500
Enumeration DateJuly 6, 2011
Last NPPES UpdateFebruary 22, 2012
NPI 1063709442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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
101 REECESVILLE RD., Coatesville, PA 19320

Other Names 1

Doing Business AsCvs Pharmacy # 01805

Other Identifiers 5

Other3995682PA · Ncpdp
Medicare NSC5619370391PA
Medicare PIN168230PA
Medicaid1015538870396PA
Other1063709442PA · Pace

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 39D2282291

Cvs/Pharmacy #01805 · Coatesville, PA
Active · expires May 18, 2027
CLIA Number39D2282291
Laboratory TypePharmacy
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorBrittney Gillespie
Laboratory Phone(610) 466-7166
Laboratory LocationCvs/Pharmacy #01805101 Reecesville Rd, Coatesville, PA 19320
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 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.
406 services406 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.
361 services361 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.
33 services33 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.
32 services32 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.
32 services32 patients

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 LLC's NPI number?

The NPI number for Pennsylvania CVS Pharmacy LLC is 1063709442. It was assigned to this organization in the NPPES registry on July 6, 2011. The provider is doing business as CVS Pharmacy # 01805.

Where is Pennsylvania CVS Pharmacy LLC located?

Pennsylvania CVS Pharmacy LLC is located at 101 Reecesville Rd., Coatesville, PA 19320. The listed phone number is (610) 466-7166.

What is Pennsylvania CVS Pharmacy LLC's specialty?

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

Does Pennsylvania CVS Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2282291) is associated with this NPI, valid through May 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pennsylvania 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 Pennsylvania 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 Pennsylvania CVS Pharmacy LLC was last updated on February 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.