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CVS PHARMACY #17524
NPI 1487886115
Pharmacy in Louisville, KY

Active since August 13, 2009
4174 WESTPORT RD, LOUISVILLE, KY 40207(502) 992-1040(502) 992-1050 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 25, 2016, Aug 25, 2016, Feb 12, 2016 and 1 more (4 updates tracked since 2016).

About Cvs Pharmacy #17524 NPPES

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

CVS PHARMACY #17524 (NPI 1487886115) is a healthcare organization registered as a pharmacy in Louisville, Kentucky and active in the NPI registry since August 2009. The organization lists Susan Colbert, Sr. Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1487886115
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameKENTUCKY CVS PHARMACY LLC
Location Address4174 WESTPORT RDLouisville, KY 40207-2735
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(502) 992-1040
Fax(502) 992-1050
Organization SubpartNo
Authorized OfficialSusan ColbertSr. Director, Payer Relations · (401) 770-2751
Enumeration DateAugust 13, 2009
Last NPPES UpdateOctober 25, 20164 updates tracked since enumeration
✔ NPI 1487886115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in KY · P07742
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
4174 WESTPORT RD, Louisville, KY 40207
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Other Names 1

Doing Business AsCvs Pharmacy #17524

Other Identifiers 2

Other2121439Pk
Medicare NSC6031860071

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.
240 services240 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.
137 services137 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.
90 services90 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #17524 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #17524

DMEPOS supplier · Louisville, KYOperated by Kentucky CVS Pharmacy LLC
✔

Accepts Medicare assignment

CVS Pharmacy #17524 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)20323895
Medicare Participant SinceJanuary 1, 2023
Supplier Location4174 Westport RdLouisville, KY 40207
Phone(502) 992-1040
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 10

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

TARGET CORPORATION AND SUBSIDIARIES
Pharmacy (Community/Retail Pharmacy)
4174 WESTPORT RD
LOUISVILLE, KY 40207
Jefferson County (502) 721-9756
JESSICA JOHNSON
Pharmacist
4174 WESTPORT RD, T2473
LOUISVILLE, KY 40207
Jefferson County (502) 992-1040
ELIZABETH LYNN SHAFER RPH
Pharmacist
4174 WESTPORT RD, T2473
LOUISVILLE, KY 40207
Jefferson County (502) 992-1040
DR. JACK MICHAEL MCGUIRE PHARMD
Pharmacist
4174 WESTPORT RD
LOUISVILLE, KY 40207
Jefferson County (502) 992-1039
RACHEL POPHAM
Pharmacy Technician
4174 WESTPORT RD
LOUISVILLE, KY 40207
Jefferson County (502) 992-1040
LAURA WHITE
Pharmacy Technician
4174 WESTPORT RD
LOUISVILLE, KY 40207
Jefferson County (502) 992-1040
LUXOTTICA OF AMERICA INC.
Eyewear Supplier
4174 WESTPORT RD
LOUISVILLE, KY 40207
Jefferson County (502) 653-4549
EMILY SCHAFTLEIN PHARM.D.
Pharmacist
4174 WESTPORT RD
LOUISVILLE, KY 40207
Jefferson County (812) 972-5011

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 Kentucky CVS Pharmacy LLC's NPI number?

The NPI number for Kentucky CVS Pharmacy LLC is 1487886115. It was assigned to this organization in the NPPES registry on August 13, 2009.

Where is Kentucky CVS Pharmacy LLC located?

Kentucky CVS Pharmacy LLC is located at 4174 Westport Rd, Louisville, KY 40207. The listed phone number is (502) 992-1040.

What is Kentucky CVS Pharmacy LLC's specialty?

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

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

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #17524 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Kentucky 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 33 other insurers list Kentucky 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 Kentucky CVS Pharmacy LLC was last updated on October 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.