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CVS PHARMACY #10055
NPI 1124372636
Pharmacy in Texarkana, TX

Active since November 06, 2012CLIA 45D2185271 · Waiver
1901 RICHMOND RD, TEXARKANA, TX 75503(903) 255-0316 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cvs Pharmacy #10055 NPPES

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

CVS PHARMACY #10055 (NPI 1124372636) is a healthcare organization registered as a pharmacy in Texarkana, Texas and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through June 1, 2028 and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1124372636
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCVS PHARMACY INC
Location Address1901 RICHMOND RDTexarkana, TX 75503-2424
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(903) 255-0316
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateNovember 6, 2012
Last NPPES UpdateJune 10, 2014
✔ NPI 1124372636 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
1901 RICHMOND RD, Texarkana, TX 75503
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Other Names 1

Doing Business AsCvs Pharmacy #10055

Other Identifiers 7

Other196795716AR · Ar Medicaid Dme
Other5907451Ncpdp
Medicare NSC1284730929
Other156809407AR · Ar Medicaid
Medicare PINP00754740
Medicaid466872TX
Medicare PINPH0708

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 45D2185271

CVS Pharmacy, Inc Dba Cvs/Pharmacy #10055 · Texarkana, TX
Active · expires Jun 1, 2028
CLIA Number45D2185271
Laboratory TypePharmacy
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorUche Oyeka
Laboratory Phone(866) 389-2727
Laboratory LocationCVS Pharmacy, Inc Dba Cvs/Pharmacy #100551901 Richmond Road, Texarkana, TX 75503
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 2

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.
125 services125 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.
109 services109 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #10055 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #10055

DMEPOS supplier · Texarkana, TXOperated by CVS Pharmacy Inc
✔

Accepts Medicare assignment

CVS Pharmacy #10055 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)20340827
Medicare Participant SinceJanuary 1, 2023
Supplier Location1901 Richmond RdTexarkana, TX 75503
Phone(903) 255-0316
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 4

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

MISS KOUABA MARIE ELODIE CARMEN ENOH
Pharmacist
1901 RICHMOND RD
TEXARKANA, TX 75503
Bowie County (903) 255-0316
JASKARAN SINGH PARMAR PHARMD
Pharmacist
1901 RICHMOND RD
TEXARKANA, TX 75503
Bowie County (903) 255-0316
MITESH PATEL PHARMD.
Pharmacist
1901 RICHMOND RD
TEXARKANA, TX 75503
Bowie County (903) 255-0316
DR. RICHARD EDEM ODU RPH
Pharmacist
1901 RICHMOND RD
TEXARKANA, TX 75503
Bowie County (903) 255-0316

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 CVS Pharmacy Inc's NPI number?

The NPI number for CVS Pharmacy Inc is 1124372636. It was assigned to this organization in the NPPES registry on November 6, 2012. The provider is doing business as CVS Pharmacy #10055.

Where is CVS Pharmacy Inc located?

CVS Pharmacy Inc is located at 1901 Richmond Rd, Texarkana, TX 75503. The listed phone number is (903) 255-0316.

What is CVS Pharmacy Inc's specialty?

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

Does CVS Pharmacy Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #10055 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does CVS Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2185271) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does CVS Pharmacy Inc 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 41 other insurers list CVS Pharmacy Inc 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 CVS Pharmacy Inc was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.