CVS PHARMACY # 05863
NPI 1306167168
Pharmacy in Omaha, NE

Q: What is Nebraska CVS Pharmacy LLC's NPI number?

The NPI number for Nebraska CVS Pharmacy LLC is 1306167168. It was assigned to this organization in the NPPES registry on June 16, 2010. The provider is doing business as CVS Pharmacy # 05863.

Q: What is Nebraska CVS Pharmacy LLC's specialty?

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

Active since June 16, 2010CLIA 28D2218330 · Waiver

14460 W MAPLE RD, OMAHA, NE 68116(402) 493-0443 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Cvs Pharmacy # 05863 NPPES

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

CVS PHARMACY # 05863 (NPI 1306167168) is a healthcare organization registered as a pharmacy in Omaha, Nebraska and active in the NPI registry since June 2010. The organization holds a CLIA Waiver certificate valid through March 25, 2027 and lists Susan Colbert, Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1306167168

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameNEBRASKA CVS PHARMACY LLC

Location Address14460 W MAPLE RDOmaha, NE 68116-5163

Mailing Address1 Cvs Dr, Box 1075 Pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500

Phone(402) 493-0443

Organization SubpartNo

Authorized OfficialSusan ColbertDirector Payer Relations · (401) 765-1500

Enumeration DateJune 16, 2010

Last NPPES UpdateMarch 13, 2012

✔ NPI 1306167168 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

14460 W MAPLE RD, Omaha, NE 68116

Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy # 05863

Other Identifiers 5

Medicare PINP00959035

Other2817976Ncpdp

Medicare NSC5753070006NE

Medicaid10025882600NE

Medicare PINNA1637

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 28D2218330

Nebraska CVS Pharmacy, LLC Dba Cvs/Pharmacy #05634 · Omaha, NE

Active · expires Mar 25, 2027

CLIA Number28D2218330

Laboratory TypePharmacy

Certificate Effective DateMarch 26, 2025

Certificate Expiration DateMarch 25, 2027

Laboratory DirectorKatrina Keebler

Laboratory Phone(401) 770-6431

Laboratory LocationNebraska CVS Pharmacy, LLC Dba Cvs/Pharmacy #056348315 West Center Rd, Omaha, NE 68124

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.

331 services331 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.

288 services288 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.

33 services33 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.

13 services13 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.

13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #05863 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #05863

DMEPOS supplier · Omaha, NEOperated by Nebraska CVS Pharmacy LLC

✔

Accepts Medicare assignment

CVS Pharmacy #05863 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)20325353

Medicare Participant SinceJanuary 1, 2023

Supplier Location14460 W Maple RdOmaha, NE 68116

Phone(402) 493-0443

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 9

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

JENNIFER LARA BRYANT MSN, APRN, FNP-C

Nurse Practitioner (Family)