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CVS PHARMACY #09309
NPI 1093048761
Pharmacy in Fort Mohave, AZ

Active since September 14, 2009
4744 S HIGHWAY 95, FORT MOHAVE, AZ 86426(928) 763-6822 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cvs Pharmacy #09309 NPPES

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

CVS PHARMACY #09309 (NPI 1093048761) is a healthcare organization registered as a pharmacy in Fort Mohave, Arizona and active in the NPI registry since September 2009. The organization lists Susan F Colbert, Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1093048761
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameARIZONA CVS STORES, L.L.C.
Location Address4744 S HIGHWAY 95Fort Mohave, AZ 86426-9377
Mailing Address1 Cvs Dr, Box 1075 - Pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500
Phone(928) 763-6822
Organization SubpartNo
Authorized OfficialSusan F ColbertDirector Payer Relations · (401) 765-1500
Enumeration DateSeptember 14, 2009
Last NPPES UpdateJune 18, 2014
✔ NPI 1093048761 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
4744 S HIGHWAY 95, Fort Mohave, AZ 86426
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Other Names 1

Doing Business AsCvs Pharmacy #09309

Other Identifiers 5

Medicare NSC5722810057
Medicare PINZ134635
Medicare PINP00962165
Medicaid474636AZ
Other0356370Ncpdp

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.
249 services247 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.
129 services129 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.
94 services94 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.
25 services25 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.
22 services22 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #09309 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #09309

DMEPOS supplier · Fort Mohave, AZOperated by Arizona CVS Stores LLC
✔

Accepts Medicare assignment

CVS Pharmacy #09309 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)20322383
Medicare Participant SinceJanuary 1, 2023
Supplier Location4744 S Highway 95Fort Mohave, AZ 86426
Phone(928) 763-6822
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 2

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

TIANNING LIU PHARM.D
Pharmacist
4744 S HIGHWAY 95
FORT MOHAVE, AZ 86426
Mohave County (928) 763-6822
DR. JENNIFER LYN KEMPEN PHARMD
Pharmacist
4744 S HIGHWAY 95
FORT MOHAVE, AZ 86426
Mohave County (928) 763-6822

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 Arizona CVS Stores, L.L.C.'s NPI number?

The NPI number for Arizona CVS Stores, L.L.C. is 1093048761. It was assigned to this organization in the NPPES registry on September 14, 2009.

Where is Arizona CVS Stores, L.L.C. located?

Arizona CVS Stores, L.L.C. is located at 4744 S Highway 95, Fort Mohave, AZ 86426. The listed phone number is (928) 763-6822.

What is Arizona CVS Stores, L.L.C.'s specialty?

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

Does Arizona CVS Stores, L.L.C. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #09309 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Arizona CVS Stores, L.L.C. 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 34 other insurers list Arizona CVS Stores, L.L.C. 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 Arizona CVS Stores, L.L.C. was last updated on June 18, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.