CVS PHARMACY #05459
NPI 1477650968
Pharmacy in State College, PA

Active since September 19, 2006
116 118 WEST COLLEGE AVE, STATE COLLEGE, PA 16801(814) 238-6796 Get Directions Write a Review

NPPES record last updated: August 5, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cvs Pharmacy #05459 NPPES

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

CVS PHARMACY #05459 (NPI 1477650968) is a healthcare organization registered as a pharmacy in State College, Pennsylvania and active in the NPI registry since September 2006. The organization lists Susan Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1477650968
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePENNSYLVANIA CVS PHARMACY, L.L.C.
Location Address116 118 WEST COLLEGE AVEState College, PA 16801
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Organization SubpartNo
Authorized OfficialSusan ColbertDirector · (401) 765-1500
Enumeration DateSeptember 19, 2006
Last NPPES UpdateAugust 5, 2010
NPI 1477650968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in PA · PP414215-L
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
116 118 WEST COLLEGE AVE, State College, PA 16801

Other Names 1

Doing Business AsCvs Pharmacy #05459

Other Identifiers 3

Other3980679Other Id Number-commercial Number
Medicare PIN120568
Medicare NSC5619370309

Accepted 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.
25 services25 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.
18 services18 patients

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, L.L.C.'s NPI number?

The NPI number for Pennsylvania CVS Pharmacy, L.L.C. is 1477650968. It was assigned to this organization in the NPPES registry on September 19, 2006. The provider is doing business as CVS Pharmacy #05459.

Where is Pennsylvania CVS Pharmacy, L.L.C. located?

Pennsylvania CVS Pharmacy, L.L.C. is located at 116 118 West College Ave, State College, PA 16801. The listed phone number is (814) 238-6796.

What is Pennsylvania CVS Pharmacy, L.L.C.'s specialty?

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

What insurance does Pennsylvania CVS Pharmacy, 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 33 other insurers list Pennsylvania CVS Pharmacy, 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 Pennsylvania CVS Pharmacy, L.L.C. was last updated on August 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.