CVS PHARMACY # 02453
NPI 1316041080
Pharmacy in Fairfax, VA

Active since September 12, 2006CLIA Certified · 2 labs
11003 LEE HWY, FAIRFAX, VA 22030(571) 432-5801 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Cvs Pharmacy # 02453 NPPES

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

CVS PHARMACY # 02453 (NPI 1316041080) is a pharmacy in Fairfax, Virginia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Susan Colbert, Director, Payer Relations, as its authorized official.Information from the official NPPES registry record, last updated March 28, 2012.

NPPES Registry Identity

NPI1316041080
Entity TypeOrganization
Legal Business NameVIRGINIA CVS PHARMACY, L.L.C.
Location Address11003 LEE HWYFairfax, VA 22030-5002
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 12, 2006
Last NPPES UpdateMarch 28, 2012
NPI 1316041080 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Pharmacy

Taxonomy 333600000X · Suppliers

Licensed in VA · 0201003717

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a… Show more

Also Listed

Pharmacy · Community/Retail Pharmacy

Taxonomy 3336C0003X · Suppliers

11003 LEE HWY, Fairfax, VA 22030

Also on File with NPPES

Other Names1
Cvs Pharmacy # 02453 (Doing Business As)
Other Identifiers4
P00965808 (Medicare PIN)
4835875 (Other, Other Id Number-commercial Number)
183764 (Medicare PIN)
5672950171 (Medicare NSC, VA)

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Adm sarscv2 bvl 50mcg/.5ml a

The "Fee covid-19 vac 14 res" refers to a charge for a specific service related to the COVID-19 vaccine. This could be for administering the vaccine or related care. It's crucial to get vaccinated to protect against the virus. The fee ensures quality service.

This service was performed 38 times for 38 patients

Administration of influenza virus vaccine

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.

This service was performed 114 times for 114 patients

Influenza vaccine split virus, preservative free

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.

This service was performed 38 times for 38 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

This service was performed 74 times for 74 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use

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.

This service was performed 11 times for 11 patients

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count

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.

This service was performed 474 times for 57 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20317859
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • 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
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Parenteral Nutrients - Parenteral nutrient solutions
  • Parenteral Equipment and/or Supplies - Parenteral infusion pumps, parenteral nutrition supply kits
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2258148
Facility Type
Pharmacy
Certificate Effective Date
April 18, 2026
Certificate Expiration Date
April 17, 2028
Laboratory Director
THAO TRAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cvs Pharmacy # 02453 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CVS PHARMACY # 02453

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pharmacist
11003 LEE HWY
FAIRFAX, VA 22030
Pharmacist
11003 LEE HWY
FAIRFAX, VA 22030
Pharmacist
11003 LEE HWY
FAIRFAX, VA 22030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316041080, enumerated as an "organization" on September 12, 2006.

The provider is located at 11003 LEE HWY FAIRFAX, VA 22030 and the phone number is (571) 432-5801.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.