CVS PHARMACY 04401
NPI 1457454274
Pharmacy in Dayton, OH

Active since September 07, 2006CLIA 36D2279440 · Waiver
5981 FAR HILLS AVE, DAYTON, OH 45429(937) 438-5954(937) 438-9505 Get Directions Write a Review

NPPES record last updated: August 26, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cvs Pharmacy 04401 NPPES

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

CVS PHARMACY 04401 (NPI 1457454274) is a healthcare organization registered as a pharmacy in Dayton, Ohio and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Susan Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1457454274
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameOHIO CVS STORES LLC
Location Address5981 FAR HILLS AVEDayton, OH 45429-2211
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Fax(937) 438-9505
Organization SubpartNo
Authorized OfficialSusan ColbertDirector · (401) 765-1500
Enumeration DateSeptember 7, 2006
Last NPPES UpdateAugust 26, 2011
NPI 1457454274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in OH · 2719300
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
5981 FAR HILLS AVE, Dayton, OH 45429

Other Names 1

Doing Business AsCvs Pharmacy 04401

Other Identifiers 3

Medicare PINFV96411
Other3657573Other Id Number-commercial Number
Medicare NSC5660250174

Accepted Insurance

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Adm sarscv2 bvl 50mcg/.5ml a

The "Fee covid-19 vac 14 res" refers to a charge for a specific service related to the COVID-19 vaccine. This could be for administering the vaccine or related care. It's crucial to get vaccinated to protect against the virus. The fee ensures quality service.

This service was performed 46 times for 46 patients

Administration of influenza virus vaccine

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.

This service was performed 293 times for 293 patients

Administration of pneumococcal vaccine

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.

This service was performed 13 times for 13 patients

Influenza vaccine split virus, preservative free

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.

This service was performed 29 times for 29 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

This service was performed 262 times for 262 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use

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.

This service was performed 15 times for 15 patients

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count

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.

This service was performed 914 times for 106 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20437337
Accepts Medicare Assignment
NO
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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2279440
Facility Type
Physician Office
Certificate Effective Date
April 03, 2025
Certificate Expiration Date
April 02, 2027
Laboratory Director
NICHOLAS FERGUSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cvs Pharmacy 04401 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
5981 FAR HILLS AVE
DAYTON, OH 45429
Nurse Practitioner (Family)
5981 FAR HILLS AVE
DAYTON, OH 45429
Nurse Practitioner (Family)
5981 FAR HILLS AVE
DAYTON, OH 45429
Nurse Practitioner (Family)
5981 FAR HILLS AVE
DAYTON, OH 45429
Pharmacist
5981 FAR HILLS AVE
DAYTON, OH 45429
Pharmacist
5981 FAR HILLS AVE
DAYTON, OH 45429
Pharmacist
5981 FAR HILLS AVE
DAYTON, OH 45429
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5981 FAR HILLS AVE
DAYTON, OH 45429
Pharmacist
5981 FAR HILLS AVE
DAYTON, OH 45429
Pharmacist
5981 FAR HILLS AVE
DAYTON, OH 45429
Nurse Practitioner (Family)
5981 FAR HILLS AVE
DAYTON, OH 45429
Pharmacist
5981 FAR HILLS AVE
DAYTON, OH 45429
Nurse Practitioner (Family)
5981 FAR HILLS AVE
DAYTON, OH 45429
Nurse Practitioner (Family)
5981 FAR HILLS AVE
DAYTON, OH 45429
Nurse Practitioner (Family)
5981 FAR HILLS AVE
DAYTON, OH 45429
Nurse Practitioner (Family)
5981 FAR HILLS AVE
DAYTON, OH 45429
Nurse Practitioner (Family)
5981 FAR HILLS AVE
DAYTON, OH 45429

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457454274, enumerated as an "organization" on September 07, 2006.

The provider is located at 5981 FAR HILLS AVE DAYTON, OH 45429 and the phone number is (937) 438-5954.

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.