CVS PHARMACY #04880
NPI 1376830067
Pharmacy in Decatur, TX

Active since July 01, 2011CLIA 45D2224690 · Waiver
805 W BUSINESS HWY 380, DECATUR, TX 76234(940) 626-4889 Get Directions Write a Review

NPPES record last updated: July 14, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cvs Pharmacy #04880 NPPES

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

CVS PHARMACY #04880 (NPI 1376830067) is a healthcare organization registered as a pharmacy in Decatur, Texas and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1376830067
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCVS PHARMACY INC
Location Address805 W BUSINESS HWY 380Decatur, TX 76234
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateJuly 1, 2011
Last NPPES UpdateJuly 14, 2014
NPI 1376830067 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
805 W BUSINESS HWY 380, Decatur, TX 76234

Other Names 1

Doing Business AsCvs Pharmacy #04880

Other Identifiers 6

Other5903516Ncpdp
Medicare NSC1284730898
Medicare PINPH0708
Medicare PINP00754740
Other287654201TX · Medicaid Dme
Medicaid466750TX

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 45D2224690

CVS Pharmacy, Inc Dba CVS Pharmacy #04880 · Decatur, TX
Active · expires May 13, 2027
CLIA Number45D2224690
Laboratory TypePharmacy
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorDhiraj Singh
Laboratory Phone(401) 765-1500
Laboratory LocationCVS Pharmacy, Inc Dba CVS Pharmacy #04880805 W Business Hwy 380, Decatur, TX 76234
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count K1034
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.
465 services58 patients
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.
282 services282 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.
247 services247 patients
Fee covid-19 vac 13 res 0124A
The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.
241 services241 patients
Adm sarscv2 30mcg trs-sucr 1 0051A
This is a procedure for administering the SARS-CoV-2 vaccine. The "30mcg" refers to the dosage of the vaccine, and "trs-sucr" is a component in the vaccine. The vaccine helps your body develop immunity to the COVID-19 virus to prevent illness.
114 services114 patients
Adm sarscv2 30mcg trs-sucr b 0054A
This service involves the administration of a 30mcg dose of the SARS-CoV-2 vaccine, which helps protect against COVID-19. The 'trs-sucr b' indicates it's stabilized with sugars for effectiveness. It's a crucial step in maintaining your health during the pandemic.
44 services44 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20340581
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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376830067, enumerated as an "organization" on July 01, 2011.

The provider is located at 805 W BUSINESS HWY 380 DECATUR, TX 76234 and the phone number is (940) 626-4889.

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.