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CVS PHARMACY #10214
NPI 1629414859
Pharmacy in Jenks, OK

Active since May 15, 2013CLIA 37D2217169 · Waiver

NPPES record last updated: July 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cvs Pharmacy #10214 NPPES

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

CVS PHARMACY #10214 (NPI 1629414859) is a healthcare organization registered as a pharmacy in Jenks, Oklahoma and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1629414859
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameOKLAHOMA CVS PHARMACY LLC
Location Address511 S ELM STJenks, OK 74037-3700
Mailing Address1 Cvs DrWoonsocket, RI 02895-6146 · (401) 765-1500
Phone(918) 298-4428
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateMay 15, 2013
Last NPPES UpdateJuly 2, 2014
✔ NPI 1629414859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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
511 S ELM ST, Jenks, OK 74037
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Other Names 1

Doing Business AsCvs Pharmacy #10214

Other Identifiers 5

Medicare NSC5887790050OK
Medicare PINOKB5986OK
Other3727306OK · Ncpdp
Other100233690ROK · Dme
Medicaid100233690IOK

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 37D2217169

Cvs/Pharmacy #10214 Oklahoma CVS Pharmacy, LLC · Jenks, OK
Active · expires Mar 17, 2027
CLIA Number37D2217169
Laboratory TypePharmacy
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorTrish Little
Laboratory Phone(866) 389-2727
Laboratory LocationCvs/Pharmacy #10214 Oklahoma CVS Pharmacy, LLC511 S Elm St, Jenks, OK 74037
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
226 services226 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.
208 services208 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.
21 services21 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.
21 services21 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy #10214 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #10214

DMEPOS supplier · Jenks, OKOperated by Oklahoma CVS Pharmacy LLC
✔

Accepts Medicare assignment

CVS Pharmacy #10214 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)20309195
Medicare Participant SinceJanuary 1, 2023
Supplier Location511 S Elm StJenks, OK 74037
Phone(918) 298-4428
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
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
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
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 3

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

DR. TRISH DANIELLE LITTLE PHARMD
Pharmacist
511 S ELM ST
JENKS, OK 74037
Tulsa County (918) 298-4428
LEAH CATHERINE GASSETT
Pharmacist
511 S ELM ST
JENKS, OK 74037
Tulsa County (918) 298-4428
DAVID TRUONG
Pharmacist
511 S ELM ST
JENKS, OK 74037
Tulsa County (918) 298-4428

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 Oklahoma CVS Pharmacy LLC's NPI number?

The NPI number for Oklahoma CVS Pharmacy LLC is 1629414859. It was assigned to this organization in the NPPES registry on May 15, 2013. The provider is doing business as CVS Pharmacy #10214.

Where is Oklahoma CVS Pharmacy LLC located?

Oklahoma CVS Pharmacy LLC is located at 511 S Elm St, Jenks, OK 74037. The listed phone number is (918) 298-4428.

What is Oklahoma CVS Pharmacy LLC's specialty?

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

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

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #10214 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Oklahoma CVS Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2217169) is associated with this NPI, valid through March 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Oklahoma 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 37 other insurers list Oklahoma 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 Oklahoma CVS Pharmacy LLC was last updated on July 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.