CVS PHARMACY # 03212
NPI 1376774893
Pharmacy in Lawrence, KS

Active since July 31, 2009CLIA 17D2225662 · Waiver
4841 BAUER FARMS DRIVE, LAWRENCE, KS 66049(785) 840-9381(401) 770-7108 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy # 03212 NPPES

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

CVS PHARMACY # 03212 (NPI 1376774893) is a healthcare organization registered as a pharmacy in Lawrence, Kansas and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1376774893
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameKANSAS CVS PHARMACY, L.L.C.
Location Address4841 BAUER FARMS DRIVELawrence, KS 66049
Mailing Address1 Cvs DrWoonsocket, RI 02895-6146 · (401) 765-1500 · Fax (401) 770-7108
Fax(401) 770-7108
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateJuly 31, 2009
Last NPPES UpdateOctober 25, 2011
NPI 1376774893 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
4841 BAUER FARMS DRIVE, Lawrence, KS 66049

Other Names 1

Doing Business AsCvs Pharmacy # 03212

Other Identifiers 6

Medicare PINP00754432
Other1719802Ncpdp
Medicaid200602180OKS
Medicare NSC5721150034KS
Medicare PIN9004290
Medicaid200602180PKS

Accepted 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 17D2225662

Kansas CVS Pharmacy, LLC Dba Cvs/Pharmacy #03212 · Lawrence, KS
Active · expires May 23, 2027
CLIA Number17D2225662
Laboratory TypePharmacy
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorCarrie Williams
Laboratory Phone(866) 389-2727
Laboratory LocationKansas CVS Pharmacy, LLC Dba Cvs/Pharmacy #032124841 Bauer Farms Dr, Lawrence, KS 66049
CLIA data matches this NPI record on: Address 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.
249 services248 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.
223 services223 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.
19 services19 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.
12 services12 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.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy 03212 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy 03212

DMEPOS supplier · Lawrence, KSOperated by Kansas CVS Pharmacy LLC

Accepts Medicare assignment

CVS Pharmacy 03212 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)20326709
Medicare Participant SinceJanuary 1, 2023
Supplier Location4841 Bauer Farms DrLawrence, KS 66049
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.

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 Kansas CVS Pharmacy, L.L.C.'s NPI number?

The NPI number for Kansas CVS Pharmacy, L.L.C. is 1376774893. It was assigned to this organization in the NPPES registry on July 31, 2009. The provider is doing business as CVS Pharmacy # 03212.

Where is Kansas CVS Pharmacy, L.L.C. located?

Kansas CVS Pharmacy, L.L.C. is located at 4841 Bauer Farms Drive, Lawrence, KS 66049. The listed phone number is (785) 840-9381.

What is Kansas CVS Pharmacy, L.L.C.'s specialty?

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

Does Kansas CVS Pharmacy, L.L.C. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy 03212 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Kansas CVS Pharmacy, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2225662) is associated with this NPI, valid through May 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kansas CVS Pharmacy, L.L.C. 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 32 other insurers list Kansas CVS Pharmacy, L.L.C. 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 Kansas CVS Pharmacy, L.L.C. was last updated on October 25, 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.