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CVS PHARMACY # 04649
NPI 1477656106
Pharmacy in Fishers, IN

Active since September 07, 2006CLIA 15D2282864 · Waiver
10580 E 96TH ST, FISHERS, IN 46037(317) 849-6406 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy # 04649 NPPES

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

CVS PHARMACY # 04649 (NPI 1477656106) is a healthcare organization registered as a pharmacy in Fishers, Indiana and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 25, 2027 and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1477656106
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameHOOK-SUPERX LLC
Location Address10580 E 96TH STFishers, IN 46037-9643
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(317) 849-6406
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 7, 2006
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1477656106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in IN · 60004984A
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
10580 E 96TH ST, Fishers, IN 46037
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Other Names 1

Doing Business AsCvs Pharmacy # 04649

Other Identifiers 1

Other1533149Other Id Number-commercial Number

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 ›

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 15D2282864

Hook-Superx LLC Dba Cvs/Pharmacy #04649 · Fishers, IN
Active · expires May 25, 2027
CLIA Number15D2282864
Laboratory TypePharmacy
Certificate Effective DateMay 26, 2025
Certificate Expiration DateMay 25, 2027
Laboratory DirectorJennifer Lenz
Laboratory Phone(317) 849-6406
Laboratory LocationHook-Superx LLC Dba Cvs/Pharmacy #0464910580 East 96th St, Fishers, IN 46037
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 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.
209 services209 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.
146 services146 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.
59 services59 patients

Medical Equipment Supplier Medicare DMEPOS 16

Medicare supplier enrollment and the product categories CVS Pharmacy #04649 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #04649

DMEPOS supplier · Fishers, INOperated by Hook-Superx LLC
✔

Accepts Medicare assignment

CVS Pharmacy #04649 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)20340125
Medicare Participant SinceJanuary 1, 2023
Supplier Location10580 E 96th StFishers, IN 46037
Phone(317) 849-6406
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
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
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
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.

MOHAMED ELSHAZLY
Pharmacist
10580 E 96TH ST
FISHERS, IN 46037
Hamilton County (317) 849-6406
DR. KAITLYN ELISE KEESLING PHARMD
Pharmacist
10580 E 96TH ST
FISHERS, IN 46037
Hamilton County (317) 849-6406
AUSTIN MICHAEL MCCAULEY PHARMD
Pharmacist
10580 E 96TH ST
FISHERS, IN 46037
Hamilton County (317) 849-6406
JENNIFER KAY LENZ RPH
Pharmacist
10580 E 96TH ST
FISHERS, IN 46037
Hamilton County (317) 849-6406

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 Hook-Superx LLC's NPI number?

The NPI number for Hook-Superx LLC is 1477656106. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as CVS Pharmacy # 04649.

Where is Hook-Superx LLC located?

Hook-Superx LLC is located at 10580 E 96th St, Fishers, IN 46037. The listed phone number is (317) 849-6406.

What is Hook-Superx LLC's specialty?

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

Does Hook-Superx LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #04649 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Hook-Superx LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2282864) is associated with this NPI, valid through May 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hook-Superx 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 34 other insurers list Hook-Superx 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 Hook-Superx LLC was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.