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CVS PHARMACY #04158
NPI 1376793257
Pharmacy in Augusta, ME

Active since September 26, 2008
24 STONE ST STE 120, AUGUSTA, ME 04330(401) 765-1500 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cvs Pharmacy #04158 NPPES

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

CVS PHARMACY #04158 (NPI 1376793257) is a healthcare organization registered as a pharmacy in Augusta, Maine and active in the NPI registry since September 2008. The organization lists Susan Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1376793257
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCVS STATE CAPITAL. L.L.C.
Location Address24 STONE ST STE 120Augusta, ME 04330-5209
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146
Phone(401) 765-1500
Organization SubpartNo
Authorized OfficialSusan ColbertDirector · (401) 765-1500
Enumeration DateSeptember 26, 2008
Last NPPES UpdateJuly 7, 2015
✔ NPI 1376793257 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
24 STONE ST STE 120, Augusta, ME 04330
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Other Names 1

Doing Business AsCvs Pharmacy #04158

Other Identifiers 4

Medicaid157010003ME
Medicare PIN0015942
Medicare NSC0506640019
Other2008286Ncpdp

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 ›

Areas of Expertise CMS Part B claims 4

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.
175 services175 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.
89 services89 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.
71 services71 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 18

Medicare supplier enrollment and the product categories CVS Pharmacy #04158 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #04158

DMEPOS supplier · Augusta, MEOperated by CVS State Capital LLC
⋮

Does not accept Medicare assignment

CVS Pharmacy #04158 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20431499
Medicare Participant SinceJanuary 1, 2019
Supplier Location24 Stone St Ste 120Augusta, ME 04330
Phone(207) 623-4181
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
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
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 3

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

EDWARD CONNORS
Pharmacist
24 STONE ST STE 120
AUGUSTA, ME 04330
Kennebec County (207) 623-4181
DR. MEGAN MATHIESON
Pharmacist
24 STONE ST STE 120
AUGUSTA, ME 04330
Kennebec County (207) 623-4181
DR. JOSEPH GALIBOIS II PHARM.D
Pharmacist
24 STONE ST STE 120
AUGUSTA, ME 04330
Kennebec County (207) 623-4181

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 State Capital. L.L.C.'s NPI number?

The NPI number for CVS State Capital. L.L.C. is 1376793257. It was assigned to this organization in the NPPES registry on September 26, 2008. The provider is doing business as CVS Pharmacy #04158.

Where is CVS State Capital. L.L.C. located?

CVS State Capital. L.L.C. is located at 24 Stone St Ste 120, Augusta, ME 04330. The listed phone number is (401) 765-1500.

What is CVS State Capital. L.L.C.'s specialty?

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

Does CVS State Capital. L.L.C. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, CVS Pharmacy #04158 does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does CVS State Capital. 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 CVS State Capital. 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 CVS State Capital. L.L.C. was last updated on July 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.