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CVS PHARMACY # 05858
NPI 1306148473
Pharmacy in San Antonio, TX

Active since November 23, 2010CLIA Certified · 2 labs
15038 NACOGDOCHES RD, SAN ANTONIO, TX 78247(210) 646-7045 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cvs Pharmacy # 05858 NPPES

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

CVS PHARMACY # 05858 (NPI 1306148473) is a healthcare organization registered as a pharmacy in San Antonio, Texas and active in the NPI registry since November 2010. The organization holds 2 active CLIA laboratory certificates and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1306148473
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCVS PHARMACY INC
Location Address15038 NACOGDOCHES RDSan Antonio, TX 78247-1210
Mailing Address1 Cvs DrWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108
Phone(210) 646-7045
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateNovember 23, 2010
Last NPPES UpdateNovember 23, 2011
✔ NPI 1306148473 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
15038 NACOGDOCHES RD, San Antonio, TX 78247
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Other Names 1

Doing Business AsCvs Pharmacy # 05858

Other Identifiers 5

Other280676201TX · Medicaid Dme
Medicare NSC1284730567
Medicare PINPH0708
Other5901839TX · Ncpdp
Medicaid466720TX

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 2

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 45D2281966

CVS Pharmarcy, Inc Dba Cvs/Pharmacy #05858 · San Antonio, TX
Active · expires May 14, 2027
CLIA Number45D2281966
Laboratory TypePharmacy
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorJason Brown
Laboratory Phone(210) 646-7045
Laboratory LocationCVS Pharmarcy, Inc Dba Cvs/Pharmacy #0585815038 Nacogdoches Rd, San Antonio, TX 78247
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2282025

CVS Pharmacy, Inc Dba Cvs/Pharmacy #07831 · San Antonio, TX
Active · expires May 15, 2027
CLIA Number45D2282025
Laboratory TypePharmacy
Certificate Effective DateMay 16, 2025
Certificate Expiration DateMay 15, 2027
Laboratory DirectorDarshna Patel
Laboratory Phone(210) 561-1325
Laboratory LocationCVS Pharmacy, Inc Dba Cvs/Pharmacy #078316539 De Zavala Road, San Antonio, TX 78247
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.
184 services181 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.
142 services142 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.
28 services28 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
16 services16 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
16 services16 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #05858 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #05858

DMEPOS supplier · San Antonio, TXOperated by CVS Pharmacy Inc
✔

Accepts Medicare assignment

CVS Pharmacy #05858 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)20315867
Medicare Participant SinceJanuary 1, 2023
Supplier Location15038 Nacogdoches RdSan Antonio, TX 78247
Phone(210) 646-7045
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 4

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

JAMES HARRIS RPH
Pharmacist
15038 NACOGDOCHES RD
SAN ANTONIO, TX 78247
Bexar County (210) 646-7045
LARA HAILEY BARNES PHARMD, RPH
Pharmacist
15038 NACOGDOCHES RD
SAN ANTONIO, TX 78247
Bexar County (210) 646-7045
KAITLYN PHAN
Pharmacy Technician
15038 NACOGDOCHES RD
SAN ANTONIO, TX 78247
Bexar County (210) 646-7045
DR. ASHLEY MEYER
Pharmacist
15038 NACOGDOCHES RD
SAN ANTONIO, TX 78247
Bexar County (210) 646-7045

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 CVS Pharmacy Inc's NPI number?

The NPI number for CVS Pharmacy Inc is 1306148473. It was assigned to this organization in the NPPES registry on November 23, 2010. The provider is doing business as CVS Pharmacy # 05858.

Where is CVS Pharmacy Inc located?

CVS Pharmacy Inc is located at 15038 Nacogdoches Rd, San Antonio, TX 78247. The listed phone number is (210) 646-7045.

What is CVS Pharmacy Inc's specialty?

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

Does CVS Pharmacy Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #05858 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does CVS Pharmacy Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does CVS Pharmacy Inc 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 41 other insurers list CVS Pharmacy Inc 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 CVS Pharmacy Inc was last updated on November 23, 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.