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CVS PHARMACY 03617
NPI 1649374430
Pharmacy in Easton, PA

Active since September 12, 2006CLIA 39D2261537 · Waiver
215 TOWN CENTER BLVD, EASTON, PA 18040(610) 250-3653 Get Directions Write a Review

NPPES record last updated: September 12, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cvs Pharmacy 03617 NPPES

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

CVS PHARMACY 03617 (NPI 1649374430) is a healthcare organization registered as a pharmacy in Easton, Pennsylvania and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 1, 2028 and lists Susan Colbert, Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1649374430
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePENNSYLVANIA CVS PHARMACY, L.L.C.
Location Address215 TOWN CENTER BLVDEaston, PA 18040-8368
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(610) 250-3653
Organization SubpartNo
Authorized OfficialSusan ColbertDirector Payer Relations · (401) 770-2751
Enumeration DateSeptember 12, 2006
Last NPPES UpdateSeptember 12, 2014
✔ NPI 1649374430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in PA · PP481173
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
215 TOWN CENTER BLVD, Easton, PA 18040
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Other Names 1

Doing Business AsCvs Pharmacy 03617

Other Identifiers 4

Other3980910Other Id Number-commercial Number
Medicare NSC5619370301
Medicare PIN120568
Medicare PINP00979144PA

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 39D2261537

Cvs/Pharmacy #03617 · Easton, PA
Active · expires Jun 1, 2028
CLIA Number39D2261537
Laboratory TypePharmacy
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorJae M. Shin
Laboratory Phone(866) 389-2727
Laboratory LocationCvs/Pharmacy #03617215 Town Center Blvd, Easton, PA 18040
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 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.
318 services318 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.
211 services211 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.
89 services89 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.
14 services14 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.
14 services14 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories Pennsylvania CVS Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

Pennsylvania CVS Pharmacy LLC

DMEPOS supplier · Easton, PA
✔

Accepts Medicare assignment

Pennsylvania CVS Pharmacy LLC 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)20328731
Medicare Participant SinceJanuary 1, 2023
Supplier Location215 Town Center BlvdEaston, PA 18040
Phone(610) 250-3651
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 4

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

SHAWN THOMAS LYNN
Pharmacist
215 TOWN CENTER BLVD
EASTON, PA 18040
Northampton County (610) 250-3651
SEONGJIN LEE
Pharmacist
215 TOWN CENTER BLVD
EASTON, PA 18040
Northampton County (610) 250-3651
DR. RYAN SHAWN MOSER PHARMD
Pharmacist
215 TOWN CENTER BLVD
EASTON, PA 18040
Northampton County (610) 250-3651
MATTHEW BRUER
Pharmacist
215 TOWN CENTER BLVD
EASTON, PA 18040
Northampton County (610) 250-3651

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 Pennsylvania CVS Pharmacy, L.L.C.'s NPI number?

The NPI number for Pennsylvania CVS Pharmacy, L.L.C. is 1649374430. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as CVS Pharmacy 03617.

Where is Pennsylvania CVS Pharmacy, L.L.C. located?

Pennsylvania CVS Pharmacy, L.L.C. is located at 215 Town Center Blvd, Easton, PA 18040. The listed phone number is (610) 250-3653.

What is Pennsylvania CVS Pharmacy, L.L.C.'s specialty?

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

Does Pennsylvania CVS Pharmacy, L.L.C. accept Medicare assignment for medical equipment?

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

Does Pennsylvania CVS Pharmacy, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2261537) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pennsylvania CVS Pharmacy, L.L.C. 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 Pennsylvania CVS Pharmacy, L.L.C. 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 Pennsylvania CVS Pharmacy, L.L.C. was last updated on September 12, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.