CVS PHARMACY# 05464
NPI 1073874301
Pharmacy in Mattapan, MA

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

The NPI number for CVS Pharmacy Inc is 1073874301. It was assigned to this organization in the NPPES registry on June 4, 2012.

Q: What is CVS Pharmacy Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for CVS Pharmacy Inc was last updated on February 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 04, 2012

1575 BLUE HILL AVE, MATTAPAN, MA 02126(617) 898-1282 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Cvs Pharmacy# 05464 NPPES

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

CVS PHARMACY# 05464 (NPI 1073874301) is a healthcare organization registered as a pharmacy in Mattapan, Massachusetts and active in the NPI registry since June 2012. The organization lists Susan F Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1073874301

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameCVS PHARMACY INC

Location Address1575 BLUE HILL AVEMattapan, MA 02126-2122

Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500

Phone(617) 898-1282

Organization SubpartNo

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

Enumeration DateJune 4, 2012

Last NPPES UpdateFebruary 21, 2013

✔ NPI 1073874301 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

1575 BLUE HILL AVE, Mattapan, MA 02126

Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy# 05464

Other Identifiers 4

Medicaid110088108FMA

Other2243854Ncpdp

Medicare PIN002062101

Medicare NSC1284730920

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 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.

64 services64 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.

36 services36 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.

15 services15 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #05464 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #05464

DMEPOS supplier · Mattapan, MAOperated by CVS Pharmacy Inc

✔

Accepts Medicare assignment

CVS Pharmacy #05464 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)20340941

Medicare Participant SinceJanuary 1, 2023

Supplier Location1575 Blue Hill AveMattapan, MA 02126

Phone(617) 898-1282

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

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

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

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 20

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

BRIDGET BASILE IBRAHIM

Nurse Practitioner (Family)

1575 BLUE HILL AVE, MATTAPAN COMMUNITY HEALTH CENTER
BOSTON, MA 02126

Suffolk County (617) 296-0061

DR. JENNIFER KUSNER D.M.D.

Dentist