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CVS PHARMACY # 02019
NPI 1245334911
Pharmacy in Manassas, VA

Active since September 12, 2006CLIA 49D2257482 · Waiver
5515 ASHLAND COMMUNITY SQ, MANASSAS, VA 20112(703) 583-6924 Get Directions Write a Review

NPPES record last updated: November 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy # 02019 NPPES

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

CVS PHARMACY # 02019 (NPI 1245334911) is a healthcare organization registered as a pharmacy in Manassas, Virginia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 5, 2028 and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1245334911
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameVIRGINIA CVS PHARMACY, L.L.C.
Location Address5515 ASHLAND COMMUNITY SQManassas, VA 20112-5499
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108
Phone(703) 583-6924
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 12, 2006
Last NPPES UpdateNovember 7, 2013
✔ NPI 1245334911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in VA · 0201-003468
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
5515 ASHLAND COMMUNITY SQ, Manassas, VA 20112
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Other Names 1

Doing Business AsCvs Pharmacy # 02019

Other Identifiers 4

OtherP00754757Medicare Rr
Other4832348Other Id Number-commercial Number
Medicare PIN00100F
Medicare NSC5672950111VA

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 49D2257482

Virginia CVS Pharmacy LLC Dba CVS Pharmacy #02019 · Manassas, VA
Active · expires Apr 5, 2028
CLIA Number49D2257482
Laboratory TypePharmacy
Certificate Effective DateApril 6, 2026
Certificate Expiration DateApril 5, 2028
Laboratory DirectorOsei Appiagyei
Laboratory Phone(703) 583-6924
Laboratory LocationVirginia CVS Pharmacy LLC Dba CVS Pharmacy #020195515 Ashland Community Square, Manassas, VA 20112
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 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.
220 services218 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.
189 services189 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.
15 services15 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #02019 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #02019

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

Accepts Medicare assignment

CVS Pharmacy #02019 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)20317751
Medicare Participant SinceJanuary 1, 2023
Supplier Location5515 Ashland Community SqManassas, VA 20112
Phone(703) 583-6924
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.

SO YEON PARK
Pharmacist
5515 ASHLAND COMMUNITY SQ
MANASSAS, VA 20112
Prince William County (703) 583-6924

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 1245334911. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as CVS Pharmacy # 02019.

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

Virginia CVS Pharmacy, L.L.C. is located at 5515 Ashland Community Sq, Manassas, VA 20112. The listed phone number is (703) 583-6924.

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 #02019 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 49D2257482) is associated with this NPI, valid through April 5, 2028. 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 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.