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CVS PHARMACY# 10645
NPI 1073997177
Pharmacy in Dyersburg, TN

Active since July 17, 2015
2300 LAKE ROAD, DYERSBURG, TN 38024(731) 285-3999 Get Directions Write a Review

NPPES record last updated: February 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2016, Nov 24, 2015 (2 updates tracked since 2015).

About Cvs Pharmacy# 10645 NPPES

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

CVS PHARMACY# 10645 (NPI 1073997177) is a healthcare organization registered as a pharmacy in Dyersburg, Tennessee and active in the NPI registry since July 2015. The organization lists Susan Colbert, Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1073997177
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameTENNESSEE CVS PHARMACY LLC
Location Address2300 LAKE ROADDyersburg, TN 38024-0000
Mailing Address1 Cvs Dr, Box 1075 Pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500
Phone(731) 285-3999
Organization SubpartNo
Authorized OfficialSusan ColbertDirector Payer Relations · (401) 770-2751
Enumeration DateJuly 17, 2015
Last NPPES UpdateFebruary 3, 20162 updates tracked since enumeration
✔ NPI 1073997177 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
2300 LAKE ROAD, Dyersburg, TN 38024
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Other Names 1

Doing Business AsCvs Pharmacy# 10645

Other Identifiers 3

Medicare PIN103G730742
Medicare NSC5777660138
Other4447745Ncpdp

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 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.
185 services184 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.
135 services135 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.
45 services45 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.
45 services45 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.
40 services40 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #10645 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #10645

DMEPOS supplier · Dyersburg, TNOperated by Tennessee CVS Pharmacy LLC
⋮

Does not accept Medicare assignment

CVS Pharmacy #10645 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)20429309
Medicare Participant SinceJanuary 1, 2019
Supplier Location2300 Lake RdDyersburg, TN 38024
Phone(731) 285-3999
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.

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 Tennessee CVS Pharmacy LLC's NPI number?

The NPI number for Tennessee CVS Pharmacy LLC is 1073997177. It was assigned to this organization in the NPPES registry on July 17, 2015. The provider is doing business as CVS Pharmacy# 10645.

Where is Tennessee CVS Pharmacy LLC located?

Tennessee CVS Pharmacy LLC is located at 2300 Lake Road, Dyersburg, TN 38024. The listed phone number is (731) 285-3999.

What is Tennessee CVS Pharmacy LLC's specialty?

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

Does Tennessee CVS Pharmacy LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, CVS Pharmacy #10645 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.

What insurance does Tennessee 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 36 other insurers list Tennessee 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 Tennessee CVS Pharmacy LLC was last updated on February 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.