1. Home
  2. Directory
  3. Georgia
  4. Hazlehurst
  5. Pharmacy
  6. NPI Profile

CVS PHARMACY # 04571
NPI 1124179080
Pharmacy in Hazlehurst, GA

Active since January 16, 2007
92 S TALLAHASSEE ST, HAZLEHURST, GA 31539(912) 375-7729 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy # 04571 NPPES

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

CVS PHARMACY # 04571 (NPI 1124179080) is a healthcare organization registered as a pharmacy in Hazlehurst, Georgia and active in the NPI registry since January 2007. The organization lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1124179080
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGEORGIA CVS PHARMACY LLC
Location Address92 S TALLAHASSEE STHazlehurst, GA 31539-6157
Mailing Address1 Cvs Dr, Box 1075 - Pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108
Phone(912) 375-7729
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJanuary 17, 2023
NPPES CertifiedJanuary 17, 2023
✔ NPI 1124179080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in GA · PHRE004803
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 · License PHRE004803 (GA)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
92 S TALLAHASSEE ST, Hazlehurst, GA 31539
Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy # 04571

Other Identifiers 1

Medicaid000111515AGA

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.
87 services87 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.
75 services75 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.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #04571 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #04571

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

Accepts Medicare assignment

CVS Pharmacy #04571 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)20324771
Medicare Participant SinceJanuary 1, 2023
Supplier Location92 S Tallahassee StHazlehurst, GA 31539
Phone(912) 375-7729
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 3

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

MRS. MINDY ANDERSON RPH
Pharmacist
92 S TALLAHASSEE ST
HAZLEHURST, GA 31539
Jeff Davis County (912) 385-7729
BRITTANY LAWRENCE HUGHES PHARMD
Pharmacist
92 S TALLAHASSEE ST
HAZLEHURST, GA 31539
Jeff Davis County (912) 375-7729
DR. GINA WILLIAMS ROBERTS DDS
Dentist (General Practice)
92 S TALLAHASSEE ST
HAZLEHURST, GA 31539
Jeff Davis County (912) 375-4531

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 1124179080. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider is doing business as CVS Pharmacy # 04571.

Where is Georgia CVS Pharmacy LLC located?

Georgia CVS Pharmacy LLC is located at 92 S Tallahassee St, Hazlehurst, GA 31539. The listed phone number is (912) 375-7729.

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 #04571 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.