CVS PHARMACY #05284
NPI 1154425064
Pharmacy in Lafayette, LA

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 333600000X.

Active since September 12, 2006CLIA 19D2235895 · Waiver

705 BERTRAND DR, LAFAYETTE, LA 70506(337) 232-7380(337) 232-7791 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Cvs Pharmacy #05284 NPPES

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

CVS PHARMACY #05284 (NPI 1154425064) is a healthcare organization registered as a pharmacy in Lafayette, Louisiana and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1154425064

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameLOUISIANA CVS PHARMACY, L.L.C.

Location Address705 BERTRAND DRLafayette, LA 70506-5546

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

Phone(337) 232-7380

Fax(337) 232-7791

Organization SubpartNo

Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751

Enumeration DateSeptember 12, 2006

Last NPPES UpdateJune 19, 2014

✔ NPI 1154425064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in LA · 5846

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

705 BERTRAND DR, Lafayette, LA 70506

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Other Names 1

Doing Business AsCvs Pharmacy #05284

Other Identifiers 5

Medicaid001265390LA

Other1901467Other Id Number-commercial Number

Medicare PIN5DP90

Medicare NSC5766170054

Medicare PINP00959073

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 19D2235895

Cvs/Pharmacy #5284 Louisiana CVS Pharmacy, LLC · Lafayette, LA

Active · expires Sep 12, 2027

CLIA Number19D2235895

Laboratory TypePharmacy

Certificate Effective DateSeptember 13, 2025

Certificate Expiration DateSeptember 12, 2027

Laboratory DirectorRaven Stelly

Laboratory Phone(866) 389-2727

Laboratory LocationCvs/Pharmacy #5284 Louisiana CVS Pharmacy, LLC705 Bertrand Dr, Lafayette, LA 70506

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.

145 services145 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.

96 services96 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.

43 services43 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.

17 services17 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.

17 services17 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #05284 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #05284

DMEPOS supplier · Lafayette, LAOperated by Louisiana CVS Pharmacy LLC

✔

Accepts Medicare assignment

CVS Pharmacy #05284 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)20308343

Medicare Participant SinceJanuary 1, 2023

Supplier Location705 Bertrand DrLafayette, LA 70506

Phone(337) 232-7380

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 7

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

MR. JIMMY E BRANTLEY

Pharmacist