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CVS PHARMACY # 07446
NPI 1679677470
Pharmacy in Tyler, TX

Active since September 12, 2006CLIA Certified · 2 labs
2626 E 5TH ST, TYLER, TX 75701(903) 531-2550(903) 566-5564 Get Directions Write a Review

NPPES record last updated: March 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cvs Pharmacy # 07446 NPPES

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

CVS PHARMACY # 07446 (NPI 1679677470) is a healthcare organization registered as a pharmacy in Tyler, Texas and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1679677470
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCVS PHARMACY INC
Location Address2626 E 5TH STTyler, TX 75701-3533
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(903) 531-2550
Fax(903) 566-5564
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 12, 2006
Last NPPES UpdateMarch 19, 2012
✔ NPI 1679677470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in TX · 24703
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
2626 E 5TH ST, Tyler, TX 75701
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Other Names 1

Doing Business AsCvs Pharmacy # 07446

Other Identifiers 5

Medicare NSC1284730150
Other4572079Other Id Number-commercial Number
Medicare PINPH0708TX
Medicare PINP00754740
Medicaid000462707TX

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 2

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 45D2256260

CVS Pharmacy, Inc Dba Cvs/Pharmacy #07446 · Tyler, TX
Active · expires Mar 21, 2028
CLIA Number45D2256260
Laboratory TypePharmacy
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorKendall Lemke
Laboratory Phone(866) 389-2727
Laboratory LocationCVS Pharmacy, Inc Dba Cvs/Pharmacy #074462626 East 5th St, Tyler, TX 75701
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2185272

CVS Pharmacy, Inc Dba Cvs/Pharmacy #00988 · Tyler, TX
Active · expires Jun 1, 2028
CLIA Number45D2185272
Laboratory TypePharmacy
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorJames Boonstra
Laboratory Phone(401) 770-6431
Laboratory LocationCVS Pharmacy, Inc Dba Cvs/Pharmacy #009881702 S Broadway Ave, Tyler, TX 75701
CLIA data matches this NPI record on: 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.
222 services221 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.
184 services184 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.
25 services25 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.
24 services24 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.
23 services23 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #07446 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #07446

DMEPOS supplier · Tyler, TXOperated by CVS Pharmacy Inc
✔

Accepts Medicare assignment

CVS Pharmacy #07446 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)20316737
Medicare Participant SinceJanuary 1, 2023
Supplier Location2626 E 5th StTyler, TX 75701
Phone(903) 531-2550
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 3

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

DR. ANNAYANCY ESPARZA
Pharmacist
2626 E 5TH ST
TYLER, TX 75701
Smith County (903) 531-2550
DR. DEJENE WOLDEMARIAM PHARMD
Pharmacist
2626 E 5TH ST
TYLER, TX 75701
Smith County (903) 531-2550
RAUL DE JESUS OLMOS CERVANTES RPH
Pharmacist
2626 E 5TH ST
TYLER, TX 75701
Smith County (903) 508-9776

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 CVS Pharmacy Inc's NPI number?

The NPI number for CVS Pharmacy Inc is 1679677470. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as CVS Pharmacy # 07446.

Where is CVS Pharmacy Inc located?

CVS Pharmacy Inc is located at 2626 E 5th St, Tyler, TX 75701. The listed phone number is (903) 531-2550.

What is CVS Pharmacy Inc's specialty?

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

Does CVS Pharmacy Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #07446 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does CVS Pharmacy Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does CVS Pharmacy Inc 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 41 other insurers list CVS Pharmacy Inc 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 CVS Pharmacy Inc was last updated on March 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.