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CVS PHARMACY #17369
NPI 1114135654
Pharmacy in Brunswick, GA

Active since May 18, 2007
200 GLYNN ISLE, BRUNSWICK, GA 31525(912) 261-4869(912) 261-4879 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 12, 2016, Aug 25, 2016, Jan 11, 2016 (3 updates tracked since 2016).

About Cvs Pharmacy #17369 NPPES

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

CVS PHARMACY #17369 (NPI 1114135654) is a healthcare organization registered as a pharmacy in Brunswick, Georgia and active in the NPI registry since May 2007. The organization lists Susan Colbert, Sr. Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1114135654
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGEORGIA CVS PHARMACY LLC
Location Address200 GLYNN ISLEBrunswick, GA 31525-2929
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(912) 261-4869
Fax(912) 261-4879
Organization SubpartNo
Authorized OfficialSusan ColbertSr. Director, Payer Relations · (401) 770-2751
Enumeration DateMay 18, 2007
Last NPPES UpdateOctober 12, 20163 updates tracked since enumeration
✔ NPI 1114135654 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 PHRE010240 (GA)
200 GLYNN ISLE, Brunswick, GA 31525
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Other Names 1

Doing Business AsCvs Pharmacy #17369

Other Identifiers 2

Other2016503Pk
Medicare NSC5754010330

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 2024 & 2026 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.
98 services97 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.
70 services70 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.
20 services20 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.
19 services19 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.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #17369 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #17369

DMEPOS supplier · Brunswick, GAOperated by Georgia CVS Pharmacy, L.L.C.
✔

Accepts Medicare assignment

CVS Pharmacy #17369 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)20324999
Medicare Participant SinceJanuary 1, 2023
Supplier Location200 Glynn IsleBrunswick, GA 31525
Phone(912) 261-4869
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 5

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

AMY KATHRYN MCCRARY PHARMD, RPH
Pharmacist
200 GLYNN ISLE, TARGET PHARMACY T2301
BRUNSWICK, GA 31525
Glynn County (912) 261-4869
TYLER MCPHERSON THOMPSON
Pharmacist
200 GLYNN ISLE
BRUNSWICK, GA 31525
Glynn County (912) 261-4869
FALLON VICTORIA BINKNEY RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
200 GLYNN ISLE
BRUNSWICK, GA 31525
Glynn County (912) 261-4869
JOLIE ADKINS
Pharmacist
200 GLYNN ISLE
BRUNSWICK, GA 31525
Glynn County (912) 261-4869
ROSHANI RANJITBHAI PATEL
Pharmacist
200 GLYNN ISLE
BRUNSWICK, GA 31525
Glynn County (912) 261-4869

Frequently Asked Questions

What is GEORGIA CVS PHARMACY LLC's NPI number?

The NPI number assigned to this healthcare provider is 1114135654, enumerated as an "organization" on May 18, 2007.

Where is the provider located?

The provider is located at 200 GLYNN ISLE BRUNSWICK, GA 31525 and the phone number is (912) 261-4869.

What is the provider's specialty?

Pharmacy with taxonomy code 333600000X.

What insurance does GEORGIA CVS PHARMACY LLC accept?

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.