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CVS PHARMACY # 04261
NPI 1124121876
Pharmacy in Savannah, GA

Active since September 07, 2006CLIA Certified · 3 labs
2055 E VICTORY DR, SAVANNAH, GA 31404(912) 352-0303 Get Directions Write a Review

NPPES record last updated: January 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy # 04261 NPPES

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

CVS PHARMACY # 04261 (NPI 1124121876) is a healthcare organization registered as a pharmacy in Savannah, Georgia and active in the NPI registry since September 2006. The organization holds 3 active CLIA laboratory certificates and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1124121876
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGEORGIA CVS PHARMACY LLC
Location Address2055 E VICTORY DRSavannah, GA 31404-3918
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(912) 352-0303
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJanuary 31, 2021
NPPES CertifiedJanuary 28, 2021
✔ NPI 1124121876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in GA · 004955
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
2055 E VICTORY DR, Savannah, GA 31404
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Other Names 1

Doing Business AsCvs Pharmacy # 04261

Other Identifiers 2

Other1100558Other Id Number-commercial Number
Medicaid000133724AGA

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 3

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 11D2282018

Georgia CVS Pharmacy, LLC Dba Cvs/Pharmacy #04261 · Savannah, GA
Active · expires May 15, 2027
CLIA Number11D2282018
Laboratory TypePharmacy
Certificate Effective DateMay 16, 2025
Certificate Expiration DateMay 15, 2027
Laboratory DirectorCody Davis
Laboratory Phone(912) 352-0303
Laboratory LocationGeorgia CVS Pharmacy, LLC Dba Cvs/Pharmacy #042612055 East Victory Drive, Savannah, GA 31404
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2282021

Georgia CVS Pharmacy, LLC Dba Cvs/Pharmacy #02468 · Riverdale, GA
Active · expires May 15, 2027
CLIA Number11D2282021
Laboratory TypePharmacy
Certificate Effective DateMay 16, 2025
Certificate Expiration DateMay 15, 2027
Laboratory DirectorMy Linh Ngo
Laboratory Phone(912) 352-0303
Laboratory LocationGeorgia CVS Pharmacy, LLC Dba Cvs/Pharmacy #02468581 Flint River Road, Riverdale, GA 30274
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2282022

Georgia CVS Pharmacy, LLC Dba Cvs/Pharmacy #03082 · Lagrange, GA
Active · expires May 15, 2027
CLIA Number11D2282022
Laboratory TypePharmacy
Certificate Effective DateMay 16, 2025
Certificate Expiration DateMay 15, 2027
Laboratory DirectorFreustza Millien
Laboratory Phone(912) 352-0303
Laboratory LocationGeorgia CVS Pharmacy, LLC Dba Cvs/Pharmacy #030821597 Hogansville Road, Lagrange, GA 30241
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.
96 services95 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.
55 services55 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.
34 services34 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #04261 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #04261

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

Accepts Medicare assignment

CVS Pharmacy #04261 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)20324693
Medicare Participant SinceJanuary 1, 2023
Supplier Location2055 E Victory DriveSavannah, GA 31404
Phone(912) 236-3454
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.

ERIC PINCOFSKI RPH
Pharmacist
2055 E VICTORY DR
SAVANNAH, GA 31404
Chatham County (912) 353-0303
DR. DAVID STOKES PHARMD
Pharmacist
2055 E VICTORY DR
SAVANNAH, GA 31404
Chatham County (912) 352-0303
JESSICA MARSHALL PHARM. D.
Pharmacist
2055 E VICTORY DR
SAVANNAH, GA 31404
Chatham County (912) 352-0303
JIM TO BUI
Pharmacist
2055 E VICTORY DR
SAVANNAH, GA 31404
Chatham County (912) 352-0303
MARJORIE KAREN GRAHAM
Pharmacist
2055 E VICTORY DR
SAVANNAH, GA 31404
Chatham County (912) 352-0303

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 LLC's NPI number?

The NPI number for Georgia CVS Pharmacy LLC is 1124121876. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as CVS Pharmacy # 04261.

Where is Georgia CVS Pharmacy LLC located?

Georgia CVS Pharmacy LLC is located at 2055 E Victory Dr, Savannah, GA 31404. The listed phone number is (912) 352-0303.

What is Georgia CVS Pharmacy LLC's specialty?

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

Does Georgia CVS Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #04261 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Georgia CVS Pharmacy LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Georgia 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 Arizona Complete Health and 34 other insurers list Georgia 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 Georgia CVS Pharmacy LLC was last updated on January 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.