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CVS PHARMACY #17446
NPI 1306868005
Pharmacy in Omaha, NE

Active since July 24, 2006CLIA 28D2220662 · Waiver
12500 K PLZ, OMAHA, NE 68137(402) 201-2660(402) 201-2660 Get Directions Write a Review

NPPES record last updated: December 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2016, Jan 20, 2016 (2 updates tracked since 2016).

About Cvs Pharmacy #17446 NPPES

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

CVS PHARMACY #17446 (NPI 1306868005) is a healthcare organization registered as a pharmacy in Omaha, Nebraska and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists Susan Colbert, Sr. Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1306868005
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameNEBRASKA CVS PHARMACY LLC
Location Address12500 K PLZOmaha, NE 68137-2207
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(402) 201-2660
Fax(402) 201-2660
Organization SubpartNo
Authorized OfficialSusan ColbertSr. Director, Payer Relations · (401) 770-2751
Enumeration DateJuly 24, 2006
Last NPPES UpdateDecember 5, 20162 updates tracked since enumeration
✔ NPI 1306868005 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 · License 3069 (NE)
12500 K PLZ, Omaha, NE 68137
Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy #17446

Other Identifiers 2

Other2055252Pk
Medicare NSC5753070029

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 28D2220662

Nebraska CVS Pharmacy, LLC Dba Cvs/Pharmacy #02931 · Omaha, NE
Active · expires Apr 13, 2027
CLIA Number28D2220662
Laboratory TypePharmacy
Certificate Effective DateApril 14, 2025
Certificate Expiration DateApril 13, 2027
Laboratory DirectorMary Kechely
Laboratory Phone(401) 770-6431
Laboratory LocationNebraska CVS Pharmacy, LLC Dba Cvs/Pharmacy #0293114303 U Street, Omaha, NE 68137
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 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.
142 services142 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.
119 services119 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.
16 services16 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #17446 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #17446

DMEPOS supplier · Omaha, NEOperated by Nebraska CVS Pharmacy LLC
✔

Accepts Medicare assignment

CVS Pharmacy #17446 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)20319203
Medicare Participant SinceJanuary 1, 2023
Supplier Location12500 K PlazaOmaha, NE 68137
Phone(402) 334-3436
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 7

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

DR. KATIE NICOLA PHARMD
Pharmacist
12500 K PLZ
OMAHA, NE 68137
Douglas County (402) 334-3436
TIFFANY TARR REASLAND PHARMD
Pharmacist
12500 K PLZ, T2383
OMAHA, NE 68137
Douglas County (402) 334-3436
BRANDON KNAPP
Pharmacist
12500 K PLZ
OMAHA, NE 68137
Douglas County (402) 334-3436
DR. SAMANTHA ROSE BRODERSEN PHARM D
Pharmacist
12500 K PLZ
OMAHA, NE 68137
Douglas County (402) 334-3436
JENNA KATHERINE ENGEL PHARMD
Pharmacist
12500 K PLZ
OMAHA, NE 68137
Douglas County (402) 334-3436
PAUL J KALLMAN PHARM D
Pharmacist
12500 K PLZ
OMAHA, NE 68137
Douglas County (402) 334-3436
BAMBI OGREN PHARMD
Pharmacist
12500 K PLZ
OMAHA, NE 68137
Douglas County (402) 334-3436

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 Nebraska CVS Pharmacy LLC's NPI number?

The NPI number for Nebraska CVS Pharmacy LLC is 1306868005. It was assigned to this organization in the NPPES registry on July 24, 2006. The provider is doing business as CVS Pharmacy #17446.

Where is Nebraska CVS Pharmacy LLC located?

Nebraska CVS Pharmacy LLC is located at 12500 K Plz, Omaha, NE 68137. The listed phone number is (402) 201-2660.

What is Nebraska CVS Pharmacy LLC's specialty?

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

Does Nebraska CVS Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #17446 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Nebraska CVS Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2220662) is associated with this NPI, valid through April 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nebraska CVS Pharmacy 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 33 other insurers list Nebraska CVS Pharmacy 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 Nebraska CVS Pharmacy LLC was last updated on December 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.