CVS PHARMACY # 1099
NPI 1487720314
Pharmacy in Lake Charles, LA

Q: What is Louisiana CVS Pharmacy, L.L.C.'s NPI number?

The NPI number for Louisiana CVS Pharmacy, L.L.C. is 1487720314. It was assigned to this organization in the NPPES registry on November 24, 2006. The provider is doing business as CVS Pharmacy # 1099.

Q: What is Louisiana CVS Pharmacy, L.L.C.'s specialty?

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

Active since November 24, 2006

4828 NELSON RD, LAKE CHARLES, LA 70605(337) 477-9068 Get Directions Write a Review

NPPES record last updated: September 13, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Cvs Pharmacy # 1099 NPPES

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

CVS PHARMACY # 1099 (NPI 1487720314) is a healthcare organization registered as a pharmacy in Lake Charles, Louisiana and active in the NPI registry since November 2006. The organization lists Susan F Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1487720314

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameLOUISIANA CVS PHARMACY, L.L.C.

Location Address4828 NELSON RDLake Charles, LA 70605

Mailing AddressOne Cvs Drive, Box 1075 - Pharmacy EnrollmentsWoonsocket, RI 02895 · (401) 765-1500 · Fax (401) 770-7108

Phone(337) 477-9068

Organization SubpartNo

Authorized OfficialSusan F ColbertDirector, Payer Relations · (401) 770-2751

Enumeration DateNovember 24, 2006

Last NPPES UpdateSeptember 13, 2017

✔ NPI 1487720314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in LA · 5724

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.

4828 NELSON RD, Lake Charles, LA 70605

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Other Names 1

Doing Business AsCvs Pharmacy # 1099

Other Identifiers 4

Medicaid691019TX

Medicare PINP00959073

Medicare PIN5DP90

Medicare NSC5766170002

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cvs Pharmacy # 1099 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateLouisianaEnrollment IDO20100930046720DME · PharmacyDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 5

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.

171 services169 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.

112 services112 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.

47 services47 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

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.

20 services20 patients

Administration of pneumococcal vaccine G0009

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.

20 services20 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #01099 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #01099

DMEPOS supplier · Lake Charles, LAOperated by Louisiana CVS Pharmacy LLC

✔

Accepts Medicare assignment

CVS Pharmacy #01099 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)20308301

Medicare Participant SinceJanuary 1, 2023

Supplier Location4828 Nelson RdLake Charles, LA 70605

Phone(334) 477-9068

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 8

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

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