1. Home
  2. Directory
  3. Pennsylvania
  4. Lebanon
  5. Pharmacy
  6. NPI Profile

CVS PHARMACY #17879
NPI 1407584246
Pharmacy in Lebanon, PA

Active since August 10, 2022
1745 QUENTIN RD, LEBANON, PA 17042(401) 765-1500(401) 735-1080 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2023, Aug 10, 2022 (2 updates tracked since 2022).

About Cvs Pharmacy #17879 NPPES

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

CVS PHARMACY #17879 (NPI 1407584246) is a healthcare organization registered as a pharmacy in Lebanon, Pennsylvania and active in the NPI registry since August 2022. The organization lists Susan F Colbert, Sr Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1407584246
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePENNSYLVANIA CVS PHARMACY LLC
Location Address1745 QUENTIN RDLebanon, PA 17042-7435
Mailing Address1 Cvs DrWoonsocket, RI 02895-6146
Phone(401) 765-1500
Fax(401) 735-1080
Organization SubpartNo
Authorized OfficialSusan F ColbertSr Director Payer Relations · (401) 770-2751
Enumeration DateAugust 10, 2022
Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1407584246 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
1745 QUENTIN RD, Lebanon, PA 17042
Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy #17879

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 3

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.
125 services124 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.
97 services97 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.
24 services24 patients

Medical Equipment Supplier Medicare DMEPOS 19

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

Pennsylvania CVS Pharmacy LLC

DMEPOS supplier · Lebanon, PA
✔

Accepts Medicare assignment

Pennsylvania CVS Pharmacy LLC 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)20330741
Medicare Participant SinceJanuary 1, 2023
Supplier Location1745 Quentin RdLebanon, PA 17042
Phone(717) 675-5021
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.

MR. DAVID JAMES YOUNG JR. RPH
Pharmacist
1745 QUENTIN RD
LEBANON, PA 17042
Lebanon County (717) 274-6779
JOSHUA PAUL BOMBAX PHARMD
Pharmacist
1745 QUENTIN RD
LEBANON, PA 17042
Lebanon County (717) 274-6779
DR. DARIL JO MILLER PHARM D.
Pharmacist
1745 QUENTIN RD
LEBANON, PA 17042
Lebanon County (717) 274-6779
JACOB MOORE
Pharmacist
1745 QUENTIN RD
LEBANON, PA 17042
Lebanon County (717) 274-6779

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 Pennsylvania CVS Pharmacy LLC's NPI number?

The NPI number for Pennsylvania CVS Pharmacy LLC is 1407584246. It was assigned to this organization in the NPPES registry on August 10, 2022. The provider is doing business as CVS Pharmacy #17879.

Where is Pennsylvania CVS Pharmacy LLC located?

Pennsylvania CVS Pharmacy LLC is located at 1745 Quentin Rd, Lebanon, PA 17042. The listed phone number is (401) 765-1500.

What is Pennsylvania CVS Pharmacy LLC's specialty?

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

Does Pennsylvania CVS Pharmacy LLC accept Medicare assignment for medical equipment?

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

What insurance does Pennsylvania CVS Pharmacy LLC 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 31 other insurers list Pennsylvania CVS Pharmacy LLC 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 Pennsylvania CVS Pharmacy LLC was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.