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CVS PHARMACY #04572
NPI 1124256045
Pharmacy in Cuyahoga Falls, OH

Active since June 30, 2009CLIA 36D2185921 · Waiver
641 GRAHAM RD, CUYAHOGA FALLS, OH 44221(330) 922-1298(330) 922-1441 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cvs Pharmacy #04572 NPPES

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

CVS PHARMACY #04572 (NPI 1124256045) is a healthcare organization registered as a pharmacy in Cuyahoga Falls, Ohio and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through June 10, 2028 and lists Susan F Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1124256045
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameOHIO CVS STORES LLC
Location Address641 GRAHAM RDCuyahoga Falls, OH 44221-1048
Mailing Address1 Cvs Dr, Box 1075 - Pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500
Phone(330) 922-1298
Fax(330) 922-1441
Organization SubpartNo
Authorized OfficialSusan F ColbertDirector · (401) 765-1500
Enumeration DateJune 30, 2009
Last NPPES UpdateOctober 2, 2012
✔ NPI 1124256045 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
641 GRAHAM RD, Cuyahoga Falls, OH 44221
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Other Names 1

Doing Business AsCvs Pharmacy #04572

Other Identifiers 5

Medicare NSC5660250008
Medicaid2990983OH
Medicare PINFV96411
Other3678200OH · Ncpdp #
Medicare PINP00962194

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

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 36D2185921

Ohio CVS Stores, LLC Dba Cvs/Pharmacy #4572 · Cuyahoga Falls, OH
Active · expires Jun 10, 2028
CLIA Number36D2185921
Laboratory TypePharmacy
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorRichard Bugaj
Laboratory Phone(401) 770-6431
Laboratory LocationOhio CVS Stores, LLC Dba Cvs/Pharmacy #4572641 Graham Road, Cuyahoga Falls, OH 44221
CLIA data matches this NPI record on: Address Name
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.
161 services161 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.
107 services107 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.
49 services49 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #04572 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #04572

DMEPOS supplier · Cuyahoga Fls, OHOperated by Ohio CVS Stores LLC
⋮

Does not accept Medicare assignment

CVS Pharmacy #04572 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20450207
Medicare Participant SinceJanuary 1, 2019
Supplier Location641 Graham RdCuyahoga Fls, OH 44221
Phone(330) 922-1298
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
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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.

KASSIE LEE
Pharmacy Technician
641 GRAHAM RD
CUYAHOGA FALLS, OH 44221
Summit County (330) 922-1298
DR. RICHARD ALLEN BUGAJ III
Pharmacist
641 GRAHAM RD
CUYAHOGA FALLS, OH 44221
Summit County (330) 922-1298
ZACHGARY PAUL GORDON PHARMD
Pharmacist
641 GRAHAM RD
CUYAHOGA FALLS, OH 44221
Summit County (330) 922-1298

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 Ohio CVS Stores LLC's NPI number?

The NPI number for Ohio CVS Stores LLC is 1124256045. It was assigned to this organization in the NPPES registry on June 30, 2009. The provider is doing business as CVS Pharmacy #04572.

Where is Ohio CVS Stores LLC located?

Ohio CVS Stores LLC is located at 641 Graham Rd, Cuyahoga Falls, OH 44221. The listed phone number is (330) 922-1298.

What is Ohio CVS Stores LLC's specialty?

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

Does Ohio CVS Stores LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, CVS Pharmacy #04572 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Ohio CVS Stores LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2185921) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ohio CVS Stores 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 Ohio CVS Stores 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 Ohio CVS Stores LLC was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.