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CVS PHARMACY #08983
NPI 1285930164
Pharmacy in Glendale, AZ

Active since February 10, 2011CLIA 03D2285414 · Waiver
5125 W OLIVE AVE, GLENDALE, AZ 85302(623) 931-0882 Get Directions Write a Review

NPPES record last updated: June 17, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cvs Pharmacy #08983 NPPES

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

CVS PHARMACY #08983 (NPI 1285930164) is a healthcare organization registered as a pharmacy in Glendale, Arizona and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists Susan F Colbert, Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1285930164
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameARIZONA CVS STORES LLC
Location Address5125 W OLIVE AVEGlendale, AZ 85302-4213
Mailing AddressPo Box 1075, Pharmacy EnrollmentsWoonsocket, RI 02895-0803 · (401) 765-1500
Phone(623) 931-0882
Organization SubpartNo
Authorized OfficialSusan F ColbertDirector Payer Relations · (401) 770-2751
Enumeration DateFebruary 10, 2011
Last NPPES UpdateJune 17, 2011
✔ NPI 1285930164 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
5125 W OLIVE AVE, Glendale, AZ 85302
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Other Names 1

Doing Business AsCvs Pharmacy #08983

Other Identifiers 4

Medicaid601451AZ
Medicare NSC5722810060
Medicare PINZ134634
Other0356964Ncpdp

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 03D2285414

Arizona CVS Stores, LLC Dba Cvs/Pharmacy #08983 · Glendale, AZ
Active · expires Jul 10, 2027
CLIA Number03D2285414
Laboratory TypePharmacy
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorAbebe Gonet
Laboratory Phone(623) 931-0882
Laboratory LocationArizona CVS Stores, LLC Dba Cvs/Pharmacy #089835125 W Olive Ave, Glendale, AZ 85302
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.
107 services107 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.
84 services84 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.
13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories Arizona CVS Stores, L.L.C. carries, from the Medicare DMEPOS supplier directory.

Arizona CVS Stores, L.L.C.

DMEPOS supplier · Glendale, AZ
✔

Accepts Medicare assignment

Arizona CVS Stores, L.L.C. 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)20324075
Medicare Participant SinceJanuary 1, 2023
Supplier Location5125 W Olive AveGlendale, AZ 85302
Phone(623) 931-0882
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 5

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

THOMAS COMBAHEE
Pharmacist
5125 W OLIVE AVE
GLENDALE, AZ 85302
Maricopa County (623) 931-0882
NILOFAR GHULAM HAZRAT PHARM.D
Pharmacist
5125 W OLIVE AVE
GLENDALE, AZ 85302
Maricopa County (623) 931-0882
JENNY VAN DU
Pharmacist
5125 W OLIVE AVE
GLENDALE, AZ 85302
Maricopa County (623) 931-0882
JAMEEL AL RUBAYE
Pharmacist
5125 W OLIVE AVE
GLENDALE, AZ 85302
Maricopa County (623) 931-0882
LEHNI WICKES PHARM.D.
Pharmacist
5125 W OLIVE AVE
GLENDALE, AZ 85302
Maricopa County (623) 931-0882

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 Arizona CVS Stores LLC's NPI number?

The NPI number for Arizona CVS Stores LLC is 1285930164. It was assigned to this organization in the NPPES registry on February 10, 2011. The provider is doing business as CVS Pharmacy #08983.

Where is Arizona CVS Stores LLC located?

Arizona CVS Stores LLC is located at 5125 W Olive Ave, Glendale, AZ 85302. The listed phone number is (623) 931-0882.

What is Arizona CVS Stores LLC's specialty?

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

Does Arizona CVS Stores LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Arizona CVS Stores, L.L.C. accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Arizona CVS Stores LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2285414) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Arizona CVS Stores 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 34 other insurers list Arizona CVS Stores 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 Arizona CVS Stores LLC was last updated on June 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.