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CVS PHARMACY 01927
NPI 1104918689
Pharmacy in Green Brook, NJ

Active since September 29, 2006
137 ROUTE 22, GREEN BROOK, NJ 08812(732) 424-9242 Get Directions Write a Review

NPPES record last updated: November 12, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cvs Pharmacy 01927 NPPES

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

CVS PHARMACY 01927 (NPI 1104918689) is a healthcare organization registered as a pharmacy in Green Brook, New Jersey and active in the NPI registry since September 2006. The organization lists Susan Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1104918689
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameNEW JERSEY CVS PHARMACY LLC
Location Address137 ROUTE 22Green Brook, NJ 08812
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Phone(732) 424-9242
Organization SubpartNo
Authorized OfficialSusan ColbertDirector · (401) 765-1500
Enumeration DateSeptember 29, 2006
Last NPPES UpdateNovember 12, 2010
✔ NPI 1104918689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NJ · RS005215
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
137 ROUTE 22, Green Brook, NJ 08812
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Other Names 1

Doing Business AsCvs Pharmacy 01927

Other Identifiers 3

Medicare NSC5867310173
Medicare PIN185232
Other3137242Other 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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cvs Pharmacy 01927 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20100930010865DME · PharmacyDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 4

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.
208 services206 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.
194 services194 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.
16 services16 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.
14 services14 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 New Jersey CVS Pharmacy LLC's NPI number?

The NPI number for New Jersey CVS Pharmacy LLC is 1104918689. It was assigned to this organization in the NPPES registry on September 29, 2006. The provider is doing business as CVS Pharmacy 01927.

Where is New Jersey CVS Pharmacy LLC located?

New Jersey CVS Pharmacy LLC is located at 137 Route 22, Green Brook, NJ 08812. The listed phone number is (732) 424-9242.

What is New Jersey CVS Pharmacy LLC's specialty?

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

Is New Jersey CVS Pharmacy LLC enrolled in Medicare?

Yes. New Jersey CVS Pharmacy LLC is registered in the Medicare PECOS enrollment system.

When is New Jersey CVS Pharmacy LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New Jersey, Pharmacy) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does New Jersey 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 Arkansas Health & Wellness and 30 other insurers list New Jersey 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 New Jersey CVS Pharmacy LLC was last updated on November 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.