CVS PHARMACY #16975
NPI 1104848852
Pharmacy in Bangor, ME

Q: What is CVS State Capital LLC's NPI number?

The NPI number for CVS State Capital LLC is 1104848852. It was assigned to this organization in the NPPES registry on July 24, 2006. The provider is doing business as CVS Pharmacy #16975.

Q: What is CVS State Capital LLC's specialty?

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

Active since July 24, 2006

60 LONGVIEW DR, BANGOR, ME 04401(207) 945-9977(207) 945-9977 Get Directions Write a Review

NPPES record last updated: November 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2016, Aug 25, 2016, Jan 11, 2016 (3 updates tracked since 2016).

On this page

About Cvs Pharmacy #16975 NPPES

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

CVS PHARMACY #16975 (NPI 1104848852) is a healthcare organization registered as a pharmacy in Bangor, Maine and active in the NPI registry since July 2006. The organization lists Susan Colbert, Sr. Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1104848852

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameCVS STATE CAPITAL LLC

Location Address60 LONGVIEW DRBangor, ME 04401-3629

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

Phone(207) 945-9977

Fax(207) 945-9977

Organization SubpartNo

Authorized OfficialSusan ColbertSr. Director, Payer Relations · (401) 770-2751

Enumeration DateJuly 24, 2006

Last NPPES UpdateNovember 8, 20163 updates tracked since enumeration

✔ NPI 1104848852 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 · License PH50001551 (ME)

60 LONGVIEW DR, Bangor, ME 04401

Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy #16975

Other Identifiers 2

Other2037567Pk

Medicare NSC0506640026

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.

198 services198 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.

126 services126 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.

61 services61 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.

18 services18 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.

18 services18 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy # 16975 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy # 16975

DMEPOS supplier · Bangor, MEOperated by CVS State Capital LLC

⋮

Does not accept Medicare assignment

CVS Pharmacy # 16975 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)20431337

Medicare Participant SinceJanuary 1, 2019

Supplier Location60 Longview DrBangor, ME 04401

Phone(207) 945-9977

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.

Leave this field empty

Other Providers at the Same Location NPPES 6

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

ANDREW HANSCOM RPH

Pharmacist