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CVS PHARMACY # 01539
NPI 1174664478
Pharmacy in Fredericksburg, VA

Active since February 09, 2007CLIA 49D2283462 · Waiver
10805 TIDEWATER TRL, FREDERICKSBURG, VA 22408(540) 368-3390 Get Directions Write a Review

NPPES record last updated: November 2, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cvs Pharmacy # 01539 NPPES

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

CVS PHARMACY # 01539 (NPI 1174664478) is a healthcare organization registered as a pharmacy in Fredericksburg, Virginia and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1174664478
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameVIRGINIA CVS PHARMACY, L.L.C.
Location Address10805 TIDEWATER TRLFredericksburg, VA 22408-2048
Mailing AddressOne Cvs Drive, Box 1075 Pharmacy EnrollmentsWoonsocket, RI 02895 · (401) 765-1500
Phone(540) 368-3390
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 765-1500
Enumeration DateFebruary 9, 2007
Last NPPES UpdateNovember 2, 2011
✔ NPI 1174664478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in VA · 0201004133
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 0201004133 (VA)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 0201004133 (VA)
10805 TIDEWATER TRL, Fredericksburg, VA 22408
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Other Names 1

Doing Business AsCvs Pharmacy # 01539

Other Identifiers 4

Medicare NSC5672950056VA
Medicare PINP00965800
Medicare PINP00754775
Medicare PIN00100F

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 49D2283462

Virginia CVS Pharmacy, LLC Dba Cvs/Pharmacy #01539 · Fredericksburg, VA
Active · expires Jun 7, 2027
CLIA Number49D2283462
Laboratory TypePharmacy
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorAmber Sawyer
Laboratory Phone(540) 368-3390
Laboratory LocationVirginia CVS Pharmacy, LLC Dba Cvs/Pharmacy #0153910805 Tidewater Trail, Fredericksburg, VA 22408
CLIA data matches this NPI record on: Name Phone
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 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.
171 services170 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
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.
47 services47 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.
19 services19 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.
19 services19 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy # 01539 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy # 01539

DMEPOS supplier · Fredericksburg, VAOperated by Virginia CVS Pharmacy LLC
✔

Accepts Medicare assignment

CVS Pharmacy # 01539 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)20318051
Medicare Participant SinceJanuary 1, 2023
Supplier Location10805 Tidewater TrlFredericksburg, VA 22408
Phone(540) 368-3390
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

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

CAROL A SCHUIT NP
Nurse Practitioner (Family)
10805 TIDEWATER TRL
FREDERICKSBURG, VA 22408
Spotsylvania County (703) 424-1302

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 Virginia CVS Pharmacy, L.L.C.'s NPI number?

The NPI number for Virginia CVS Pharmacy, L.L.C. is 1174664478. It was assigned to this organization in the NPPES registry on February 9, 2007. The provider is doing business as CVS Pharmacy # 01539.

Where is Virginia CVS Pharmacy, L.L.C. located?

Virginia CVS Pharmacy, L.L.C. is located at 10805 Tidewater Trl, Fredericksburg, VA 22408. The listed phone number is (540) 368-3390.

What is Virginia CVS Pharmacy, L.L.C.'s specialty?

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

Does Virginia CVS Pharmacy, L.L.C. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy # 01539 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Virginia CVS Pharmacy, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2283462) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Virginia CVS Pharmacy, L.L.C. 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 33 other insurers list Virginia CVS Pharmacy, L.L.C. 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 Virginia CVS Pharmacy, L.L.C. was last updated on November 2, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.