CVS PHARMACY # 04816
NPI 1194020602
Pharmacy in Council Bluffs, IA

Active since January 13, 2011
545 W. WASHINGTON ST, COUNCIL BLUFFS, IA 51503(712) 352-4152 Get Directions Write a Review

NPPES record last updated: March 6, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cvs Pharmacy # 04816 NPPES

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

CVS PHARMACY # 04816 (NPI 1194020602) is a healthcare organization registered as a pharmacy in Council Bluffs, Iowa and active in the NPI registry since January 2011. The organization lists Susan F Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1194020602
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameIOWA CVS PHARMACY, LLC
Location Address545 W. WASHINGTON STCouncil Bluffs, IA 51503-0771
Mailing Address1 Cvs Dr, Box - 1075 Phcy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108
Organization SubpartNo
Authorized OfficialSusan F ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateJanuary 13, 2011
Last NPPES UpdateMarch 6, 2012
NPI 1194020602 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
545 W. WASHINGTON ST, Council Bluffs, IA 51503

Other Names 1

Doing Business AsCvs Pharmacy # 04816

Other Identifiers 5

Medicare NSC5717290012IA
Medicare PINP00754260
Other1623986IA · Ncpdp
Medicaid1194020602IA
Medicare UPINI21320IA

Accepted 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 16D2187203

Iowa CVS Pharmacy, LLC Dba Cvs/Pharmacy # 04816 · Council Bluffs, IA
Expired · Jun 25, 2026
CLIA Number16D2187203
Laboratory TypePharmacy
Certificate Effective DateJune 26, 2024
Certificate Expiration DateJune 25, 2026
Laboratory DirectorNatasha Konfrst
Laboratory Phone(401) 765-1500
Laboratory LocationIowa CVS Pharmacy, LLC Dba Cvs/Pharmacy # 04816545 W Washington Street, Council Bluffs, IA 51503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization dataset. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count K1034
This service provides a FDA-approved COVID-19 test kit for personal use. The test is self-administered and self-collected, meaning you conduct the test yourself. The kit contains all necessary items for one test. Follow the instructions carefully to ensure accurate results.
440 services65 patients
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.
175 services175 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.
148 services148 patients
Fee covid-19 vac 13 res 0124A
The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.
125 services125 patients
Adm sarscv2 30mcg trs-sucr 1 0051A
This is a procedure for administering the SARS-CoV-2 vaccine. The "30mcg" refers to the dosage of the vaccine, and "trs-sucr" is a component in the vaccine. The vaccine helps your body develop immunity to the COVID-19 virus to prevent illness.
59 services59 patients
Adm sarscv2 30mcg trs-sucr b 0054A
This service involves the administration of a 30mcg dose of the SARS-CoV-2 vaccine, which helps protect against COVID-19. The 'trs-sucr b' indicates it's stabilized with sugars for effectiveness. It's a crucial step in maintaining your health during the pandemic.
25 services25 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20322791
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • 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
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Parenteral Nutrients - Parenteral nutrient solutions
  • Parenteral Equipment and/or Supplies - Parenteral infusion pumps, parenteral nutrition supply kits
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194020602, enumerated as an "organization" on January 13, 2011.

The provider is located at 545 W. WASHINGTON ST COUNCIL BLUFFS, IA 51503 and the phone number is (712) 352-4152.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.