1. Home
  2. Directory
  3. Pennsylvania
  4. Clarks Summit
  5. Pharmacy
  6. NPI Profile

CVS PHARMACY #01597
NPI 1255435095
Pharmacy in Clarks Summit, PA

Active since September 12, 2006
101 N STATE ST, CLARKS SUMMIT, PA 18411(717) 586-1200 Get Directions Write a Review

NPPES record last updated: April 6, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cvs Pharmacy #01597 NPPES

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

CVS PHARMACY #01597 (NPI 1255435095) is a healthcare organization registered as a pharmacy in Clarks Summit, Pennsylvania and active in the NPI registry since September 2006. The organization lists Susan Colbert, Dir Phcy Enrollments, as its authorized official.

NPPES Registry Identity

NPI1255435095
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePENNSYLVANIA CVS PHARMACY, L.L.C.
Location Address101 N STATE STClarks Summit, PA 18411-1055
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Phone(717) 586-1200
Organization SubpartNo
Authorized OfficialSusan ColbertDir Phcy Enrollments · (401) 770-2751
Enumeration DateSeptember 12, 2006
Last NPPES UpdateApril 6, 2015
✔ NPI 1255435095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in PA · PP413388L
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
101 N STATE ST, Clarks Summit, PA 18411
Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy #01597

Other Identifiers 4

Medicare PINP00979144PA
Medicare NSC5619370162PA
Other3904491Other Id Number-commercial Number
Medicare PIN120568

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 ›

Areas of Expertise CMS Part B claims 8

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.

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.
3,150 services333 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.
395 services392 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.
366 services364 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.
237 services237 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.
117 services117 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.
32 services32 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #01597 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #01597

DMEPOS supplier · Clarks Summit, PAOperated by Pennsylvania CVS Pharmacy LLC
✔

Accepts Medicare assignment

CVS Pharmacy #01597 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)20342261
Medicare Participant SinceJanuary 1, 2023
Supplier Location101 N State StClarks Summit, PA 18411
Phone(570) 587-1205
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
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
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 5

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

JOANNE L TANNER CRNP
Nurse Practitioner (Family)
101 N STATE ST, MINUTE CLINIC
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-1205
PAMELA BRACE GIANNETTI CRNP
Nurse Practitioner (Family)
101 N STATE ST
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-1205
JENNIFER JILL MISHKULA-MORGAN PHARM D
Pharmacist
101 N STATE ST
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-1205
MRS. DENISE MARIE WARHOLA RPH
Pharmacist
101 N STATE ST
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-1205
DR. NICHOLAS ALAN SUPERKO PHARMD
Pharmacist
101 N STATE ST
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-1205

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

The NPI number for Pennsylvania CVS Pharmacy, L.L.C. is 1255435095. It was assigned to this organization in the NPPES registry on September 12, 2006.

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

Pennsylvania CVS Pharmacy, L.L.C. is located at 101 N State St, Clarks Summit, PA 18411. The listed phone number is (717) 586-1200.

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

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

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

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #01597 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Pennsylvania 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 Pennsylvania 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 Pennsylvania CVS Pharmacy, L.L.C. was last updated on April 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.