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CVS PHARMACY #05970
NPI 1609970433
Pharmacy in Pasadena, TX

Active since September 12, 2006CLIA 45D2284710 · Waiver
930 SOUTHMORE AVE, PASADENA, TX 77502(713) 740-9120 Get Directions Write a Review

NPPES record last updated: February 23, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cvs Pharmacy #05970 NPPES

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

CVS PHARMACY #05970 (NPI 1609970433) is a healthcare organization registered as a pharmacy in Pasadena, Texas and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1609970433
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCVS PHARMACY INC
Location Address930 SOUTHMORE AVEPasadena, TX 77502-1114
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(713) 740-9120
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 12, 2006
Last NPPES UpdateFebruary 23, 2015
✔ NPI 1609970433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in TX · 24472
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
930 SOUTHMORE AVE, Pasadena, TX 77502
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Other Names 1

Doing Business AsCvs Pharmacy #05970

Other Identifiers 4

Other4532455Other Id Number-commercial Number
Medicare PINPH0708TX
Medicare PINP00754740
Medicare NSC1284730099

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 45D2284710

CVS Pharmacy, Inc Dba Cvs/Pharmacy #05970 · Pasadena, TX
Active · expires Jun 26, 2027
CLIA Number45D2284710
Laboratory TypePharmacy
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorErik Zelaya
Laboratory Phone(713) 740-9120
Laboratory LocationCVS Pharmacy, Inc Dba Cvs/Pharmacy #05970930 Southmore Ave, Pasadena, TX 77502
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count K1034
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.
742 services92 patients
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.
39 services39 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
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.
28 services28 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #05970 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #05970

DMEPOS supplier · Pasadena, TXOperated by CVS Pharmacy Inc
✔

Accepts Medicare assignment

CVS Pharmacy #05970 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)20343683
Medicare Participant SinceJanuary 1, 2023
Supplier Location930 Southmore AvePasadena, TX 77502
Phone(713) 740-9120
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 2

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

DR. ERIK GUSTAVO ZELAYA PHARMD
Pharmacist
930 SOUTHMORE AVE
PASADENA, TX 77502
Harris County (713) 740-9120
YU MIAO
Pharmacist
930 SOUTHMORE AVE
PASADENA, TX 77502
Harris County (713) 740-9120

Frequently Asked Questions

What is CVS PHARMACY INC's NPI number?

The NPI number assigned to this healthcare provider is 1609970433, enumerated as an "organization" on September 12, 2006.

Where is the provider located?

The provider is located at 930 SOUTHMORE AVE PASADENA, TX 77502 and the phone number is (713) 740-9120.

What is the provider's specialty?

Pharmacy with taxonomy code 333600000X.

What insurance does CVS PHARMACY INC accept?

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.