CVS PHARMACY # 03426
NPI 1174798417
Pharmacy in Walls, MS

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

The NPI number for Mississippi CVS Pharmacy LLC is 1174798417. It was assigned to this organization in the NPPES registry on April 28, 2008. The provider is doing business as CVS Pharmacy # 03426.

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

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

Active since April 28, 2008CLIA 25D2223588 · Waiver

6040 GOODMAN RD, WALLS, MS 38680(401) 765-1500 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cvs Pharmacy # 03426 NPPES

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

CVS PHARMACY # 03426 (NPI 1174798417) is a healthcare organization registered as a pharmacy in Walls, Mississippi and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1174798417

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameMISSISSIPPI CVS PHARMACY LLC

Location Address6040 GOODMAN RDWalls, MS 38680

Mailing Address1 Cvs Dr, Box 1075- Pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108

Phone(401) 765-1500

Organization SubpartNo

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

Enumeration DateApril 28, 2008

Last NPPES UpdateOctober 25, 2011

✔ NPI 1174798417 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

6040 GOODMAN RD, Walls, MS 38680

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Other Names 1

Doing Business AsCvs Pharmacy # 03426

Other Identifiers 5

Medicaid06773354MS

Medicare PINP00962172

Other2587181Ncpdp

Medicare NSC5983700004

Medicare PIN302G735488

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 25D2223588

Mississippi CVS Pharmacy LLC Dba CVS Pharmacy03426 · Walls, MS

Active · expires May 6, 2027

CLIA Number25D2223588

Laboratory TypePharmacy

Certificate Effective DateMay 7, 2025

Certificate Expiration DateMay 6, 2027

Laboratory DirectorLeon Thomas

Laboratory Phone(866) 389-2727

Laboratory LocationMississippi CVS Pharmacy LLC Dba CVS Pharmacy034266040 Goodman Rd, Walls, MS 38680

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.

70 services69 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.

48 services48 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.

18 services18 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #03426 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #03426

DMEPOS supplier · Walls, MSOperated by Mississippi CVS Pharmacy LLC

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Does not accept Medicare assignment

CVS Pharmacy #03426 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)20446625

Medicare Participant SinceJanuary 1, 2019

Supplier Location6040 Goodman RdWalls, MS 38680

Phone(662) 781-1290

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.

DR. LEON THOMAS PHARMD

Pharmacist

6040 GOODMAN RD
WALLS, MS 38680

Desoto County (662) 781-1290

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 Mississippi CVS Pharmacy LLC's NPI number?

The NPI number for Mississippi CVS Pharmacy LLC is 1174798417. It was assigned to this organization in the NPPES registry on April 28, 2008. The provider is doing business as CVS Pharmacy # 03426.

Where is Mississippi CVS Pharmacy LLC located?

Mississippi CVS Pharmacy LLC is located at 6040 Goodman Rd, Walls, MS 38680. The listed phone number is (401) 765-1500.

What is Mississippi CVS Pharmacy LLC's specialty?

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

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

No. As a Medicare medical equipment supplier, CVS Pharmacy #03426 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 Mississippi CVS Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2223588) is associated with this NPI, valid through May 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mississippi 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 Mississippi 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 Mississippi CVS Pharmacy LLC was last updated on October 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.