CVS PHARMACY #16477
NPI 1104848886
Pharmacy in Newport News, VA

Q: What is Virginia CVS Pharmacy LLC's NPI number?

The NPI number for Virginia CVS Pharmacy LLC is 1104848886. It was assigned to this organization in the NPPES registry on July 24, 2006. The provider is doing business as CVS Pharmacy #16477.

Q: What is Virginia CVS Pharmacy LLC's specialty?

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

Active since July 24, 2006

12130 JEFFERSON AVE, NEWPORT NEWS, VA 23602(757) 881-9371(757) 234-7312 Get Directions Write a Review

NPPES record last updated: December 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Cvs Pharmacy #16477 NPPES

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

CVS PHARMACY #16477 (NPI 1104848886) is a healthcare organization registered as a pharmacy in Newport News, Virginia 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

NPI1104848886

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameVIRGINIA CVS PHARMACY LLC

Location Address12130 JEFFERSON AVENewport News, VA 23602-6908

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

Phone(757) 881-9371

Fax(757) 234-7312

Organization SubpartNo

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

Enumeration DateJuly 24, 2006

Last NPPES UpdateDecember 5, 2016

✔ NPI 1104848886 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 201003442 (VA)

12130 JEFFERSON AVE, Newport News, VA 23602

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Other Names 1

Doing Business AsCvs Pharmacy #16477

Other Identifiers 2

Other2107258Pk

Medicare NSC5672950332

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.

149 services149 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.

120 services120 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.

21 services21 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #16477 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #16477

DMEPOS supplier · Newport News, VAOperated by Virginia CVS Pharmacy LLC

✔

Accepts Medicare assignment

CVS Pharmacy #16477 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)20318111

Medicare Participant SinceJanuary 1, 2023

Supplier Location12130 Jefferson AveNewport News, VA 23602

Phone(757) 881-9371

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.

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Other Providers at the Same Location NPPES 9

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

DR. JAMIE GLENN WALLER PHARM.D

Pharmacist