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CVS PHARMACY #06012
NPI 1679677512
Pharmacy in Dallas, GA

Active since September 12, 2006CLIA 11D2282586 · Waiver
51 SEVEN HILLS BLVD, DALLAS, GA 30132(678) 574-3032 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy #06012 NPPES

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

CVS PHARMACY #06012 (NPI 1679677512) is a healthcare organization registered as a pharmacy in Dallas, Georgia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 22, 2027 and lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1679677512
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGEORGIA CVS PHARMACY, L.L.C.
Location Address51 SEVEN HILLS BLVDDallas, GA 30132-0810
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(678) 574-3032
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 12, 2006
Last NPPES UpdateMarch 13, 2012
✔ NPI 1679677512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in GA · PHRE008948
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
51 SEVEN HILLS BLVD, Dallas, GA 30132
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Other Names 1

Doing Business AsCvs Pharmacy #06012

Other Identifiers 5

Medicaid192754403AGA
Medicare PINP00962782GA
Other1153092Other Id Number-commercial Number
Medicare PIN202G738984
Medicare NSC5754010120

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 11D2282586

Georgia CVS Pharmacy, LLC Dba Cvs/Pharmacy #06012 · Dallas, GA
Active · expires May 22, 2027
CLIA Number11D2282586
Laboratory TypePharmacy
Certificate Effective DateMay 23, 2025
Certificate Expiration DateMay 22, 2027
Laboratory DirectorBhumi Patel
Laboratory Phone(678) 574-3032
Laboratory LocationGeorgia CVS Pharmacy, LLC Dba Cvs/Pharmacy #0601251 Seven Hills Blvd, Dallas, GA 30132
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 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.
160 services159 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.
90 services90 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.
62 services62 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.
16 services16 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy # 06012 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy # 06012

DMEPOS supplier · Dallas, GAOperated by Georgia CVS Pharmacy, L.L.C.
✔

Accepts Medicare assignment

CVS Pharmacy # 06012 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)20326529
Medicare Participant SinceJanuary 1, 2023
Supplier Location51 Seven Hills BlvdDallas, GA 30132
Phone(678) 574-3032
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 7

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

PRIMARY CARE PLUS, PC
Family Medicine
51 SEVEN HILLS BLVD, SUITE 102
DALLAS, GA 30132
Paulding County (678) 574-3000
DR. CURTIS CHEEKS JR. M.D.
Family Medicine
51 SEVEN HILLS BLVD, SUITE 102
DALLAS, GA 30132
Paulding County (678) 574-3000
MRS. NICOLE STEVENS FNP-C
Nurse Practitioner (Family)
51 SEVEN HILLS BLVD, SUITE 102
DALLAS, GA 30132
Paulding County (678) 574-3000
DR. KWADWO KORSAH PHARM.D.
Pharmacist
51 SEVEN HILLS BLVD
DALLAS, GA 30132
Paulding County (678) 574-3032
DR. RICHARD TU PHARMD
Pharmacist
51 SEVEN HILLS BLVD
DALLAS, GA 30132
Paulding County (678) 574-3032
CHRISTINE MICHELLE STRONG FNP-BC
Nurse Practitioner (Family)
51 SEVEN HILLS BLVD
DALLAS, GA 30132
Paulding County (678) 574-3000
ELERY MICHAEL BROSSETT
Pharmacist
51 SEVEN HILLS BLVD
DALLAS, GA 30132
Paulding County (678) 574-3032

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

The NPI number for Georgia CVS Pharmacy, L.L.C. is 1679677512. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as CVS Pharmacy #06012.

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

Georgia CVS Pharmacy, L.L.C. is located at 51 Seven Hills Blvd, Dallas, GA 30132. The listed phone number is (678) 574-3032.

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

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

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

Yes. As a Medicare medical equipment supplier, CVS Pharmacy # 06012 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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

Yes. A Certificate of Waiver (number 11D2282586) is associated with this NPI, valid through May 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Georgia 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 34 other insurers list Georgia 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 Georgia CVS Pharmacy, L.L.C. was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.