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CVS PHARMACY #04109
NPI 1386901213
Pharmacy in San Antonio, TX

Active since April 17, 2012
12835 POTRANCO RD, SAN ANTONIO, TX 78253(210) 679-0250 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy #04109 NPPES

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

CVS PHARMACY #04109 (NPI 1386901213) is a healthcare organization registered as a pharmacy in San Antonio, Texas and active in the NPI registry since April 2012. The organization lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1386901213
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCVS PHARMACY INC
Location Address12835 POTRANCO RDSan Antonio, TX 78253
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(210) 679-0250
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateApril 17, 2012
Last NPPES UpdateJune 10, 2014
✔ NPI 1386901213 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
12835 POTRANCO RD, San Antonio, TX 78253
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Other Names 1

Doing Business AsCvs Pharmacy #04109

Other Identifiers 6

Other301236101Medicaid Dme
Medicare PINPH0708
Medicare PINP00754740
Medicaid466810TX
Medicare NSC1284730915
Other5905798Ncpdp

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 2

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.
97 services96 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.
86 services86 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #04109 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #04109

DMEPOS supplier · San Antonio, TXOperated by CVS Pharmacy Inc
✔

Accepts Medicare assignment

CVS Pharmacy #04109 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)20340821
Medicare Participant SinceJanuary 1, 2023
Supplier Location12835 Potranco RdSan Antonio, TX 78253
Phone(210) 679-0250
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 4

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

BRIAN HUYNH
Pharmacist
12835 POTRANCO RD
SAN ANTONIO, TX 78253
Bexar County (210) 679-0250
DR. THIEN DUONG HOANG PHARMD
Pharmacist
12835 POTRANCO RD
SAN ANTONIO, TX 78253
Bexar County (210) 679-0250
AZUH NDIKUM RPH
Pharmacist
12835 POTRANCO RD
SAN ANTONIO, TX 78253
Bexar County (210) 679-0250
ONYINYE IFUNANYA NWANESHIUDU
Pharmacist
12835 POTRANCO RD
SAN ANTONIO, TX 78253
Bexar County (210) 679-0250

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 Pharmacy Inc's NPI number?

The NPI number for CVS Pharmacy Inc is 1386901213. It was assigned to this organization in the NPPES registry on April 17, 2012. The provider is doing business as CVS Pharmacy #04109.

Where is CVS Pharmacy Inc located?

CVS Pharmacy Inc is located at 12835 Potranco Rd, San Antonio, TX 78253. The listed phone number is (210) 679-0250.

What is CVS Pharmacy Inc's specialty?

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

Does CVS Pharmacy Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #04109 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does CVS Pharmacy Inc 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 40 other insurers list CVS Pharmacy Inc 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 Pharmacy Inc was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.