CVS PHARMACY 11093
NPI 1134617301
Pharmacy in Russellville, AR

Q: What is Arkansas CVS Pharmacy LLC's NPI number?

The NPI number for Arkansas CVS Pharmacy LLC is 1134617301. It was assigned to this organization in the NPPES registry on April 24, 2018. The provider is doing business as CVS Pharmacy 11093.

Q: What is Arkansas CVS Pharmacy LLC's specialty?

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

Active since April 24, 2018CLIA 04D2255929 · Waiver

101 E MAIN ST, RUSSELLVILLE, AR 72801(479) 498-0014 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2018, Apr 24, 2018 (2 updates tracked since 2018).

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About Cvs Pharmacy 11093 NPPES

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

CVS PHARMACY 11093 (NPI 1134617301) is a healthcare organization registered as a pharmacy in Russellville, Arkansas and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through March 17, 2028 and lists Susan F Colbert, Sr Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1134617301

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameARKANSAS CVS PHARMACY LLC

Location Address101 E MAIN STRussellville, AR 72801

Mailing Address1 Cvs Drive, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500

Phone(479) 498-0014

Organization SubpartNo

Authorized OfficialSusan F ColbertSr Director, Payer Relations · (401) 770-2751

Enumeration DateApril 24, 2018

Last NPPES UpdateJune 20, 20182 updates tracked since enumeration

✔ NPI 1134617301 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

101 E MAIN ST, Russellville, AR 72801

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Other Names 1

Doing Business AsCvs Pharmacy 11093

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 04D2255929

CVS Pharmacy 11093 Arkansas CVS Pharmacy LLC · Russellville, AR

Active · expires Mar 17, 2028

CLIA Number04D2255929

Laboratory TypePharmacy

Certificate Effective DateMarch 18, 2026

Certificate Expiration DateMarch 17, 2028

Laboratory DirectorJennifer Harrell

Laboratory Phone(866) 389-2727

Laboratory LocationCVS Pharmacy 11093 Arkansas CVS Pharmacy LLC101 East Main Street, Russellville, AR 72801

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 6

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.

332 services327 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.

164 services164 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.

139 services139 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.

48 services48 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.

39 services39 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #11093 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #11093

DMEPOS supplier · Russellville, AROperated by Arkansas CVS Pharmacy LLC

✔

Accepts Medicare assignment

CVS Pharmacy #11093 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)20311841

Medicare Participant SinceJanuary 1, 2023

Supplier Location101 E Main StreetRussellville, AR 72801

Phone(479) 498-0014

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.

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Other Providers at the Same Location NPPES

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

DR. JOCELYN CORNWELL PHARMD

Pharmacist

101 E MAIN ST
RUSSELLVILLE, AR 72801

Pope County (479) 498-0014

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 Arkansas CVS Pharmacy LLC's NPI number?

The NPI number for Arkansas CVS Pharmacy LLC is 1134617301. It was assigned to this organization in the NPPES registry on April 24, 2018. The provider is doing business as CVS Pharmacy 11093.

Where is Arkansas CVS Pharmacy LLC located?

Arkansas CVS Pharmacy LLC is located at 101 E Main St, Russellville, AR 72801. The listed phone number is (479) 498-0014.

What is Arkansas CVS Pharmacy LLC's specialty?

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

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

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #11093 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Arkansas CVS Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2255929) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Arkansas 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 38 other insurers list Arkansas 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 Arkansas CVS Pharmacy LLC was last updated on June 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.