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CVS PHARMACY #02187
NPI 1093819922
Pharmacy in Mableton, GA

Active since September 12, 2006CLIA 11D2281754 · Waiver
5846 MABLETON PKWY SE # 5856, MABLETON, GA 30126(770) 745-3171 Get Directions Write a Review

NPPES record last updated: March 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cvs Pharmacy #02187 NPPES

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

CVS PHARMACY #02187 (NPI 1093819922) is a healthcare organization registered as a pharmacy in Mableton, Georgia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1093819922
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGEORGIA CVS PHARMACY, L.L.C.
Location Address5846 MABLETON PKWY SE # 5856Mableton, GA 30126-3471
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(770) 745-3171
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 12, 2006
Last NPPES UpdateMarch 5, 2012
✔ NPI 1093819922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in GA · 008177
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
5846 MABLETON PKWY SE # 5856, Mableton, GA 30126
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Other Names 1

Doing Business AsCvs Pharmacy #02187

Other Identifiers 5

Medicaid000778203AGA
Medicare PIN202G738984
Medicare NSC5754010065GA
Medicare PINP00962782GA
Other1144625Other Id Number-commercial Number

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 ›

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 11D2281754

Georgia CVS Pharmacy, LLC Dba Cvs/Pharmacy #02187 · Mableton, GA
Active · expires May 10, 2027
CLIA Number11D2281754
Laboratory TypePharmacy
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorHarrison Beasley
Laboratory Phone(770) 745-3171
Laboratory LocationGeorgia CVS Pharmacy, LLC Dba Cvs/Pharmacy #021875846-5856 Mabelton Parkway, Mableton, GA 30126
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
39 services39 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.
20 services20 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.
13 services13 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 Georgia CVS Pharmacy, L.L.C.'s NPI number?

The NPI number for Georgia CVS Pharmacy, L.L.C. is 1093819922. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as CVS Pharmacy #02187.

Where is Georgia CVS Pharmacy, L.L.C. located?

Georgia CVS Pharmacy, L.L.C. is located at 5846 Mableton Pkwy SE # 5856, Mableton, GA 30126. The listed phone number is (770) 745-3171.

What is Georgia CVS Pharmacy, L.L.C.'s specialty?

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

Does Georgia CVS Pharmacy, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2281754) is associated with this NPI, valid through May 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Georgia CVS Pharmacy, 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 Georgia CVS Pharmacy, 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 Georgia CVS Pharmacy, L.L.C. was last updated on March 5, 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.