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OREGON CVS PHARMACY LLC
NPI 1689327801
Pharmacy in Portland, OR

Active since January 28, 2022CLIA 38D2259726 · Waiver
12675 NW CORNELL RD, PORTLAND, OR 97229(503) 495-3740 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2022, Jan 28, 2022 (2 updates tracked since 2022).

About Oregon Cvs Pharmacy Llc NPPES

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

OREGON CVS PHARMACY LLC (NPI 1689327801) is a healthcare organization registered as a pharmacy in Portland, Oregon and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Susan Colbert, Sr Director, as its authorized official.

NPPES Registry Identity

NPI1689327801
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameOREGON CVS PHARMACY LLC
Location Address12675 NW CORNELL RDPortland, OR 97229-5886
Mailing Address1 Cvs Dr # 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(503) 495-3740
Organization SubpartNo
Authorized OfficialSusan ColbertSr Director · (401) 770-2751
Enumeration DateJanuary 28, 2022
Last NPPES UpdateJuly 11, 20222 updates tracked since enumeration
NPPES CertifiedJuly 11, 2022
✔ NPI 1689327801 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
12675 NW CORNELL RD, Portland, OR 97229
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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 38D2259726

Oregon CVS Pharmacy, LLC #11150 · Portland, OR
Active · expires May 9, 2028
CLIA Number38D2259726
Laboratory TypePharmacy
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorKelly M. Meyer
Laboratory Phone(506) 495-4157
Laboratory LocationOregon CVS Pharmacy, LLC #1115012555 NW Cornell Rd, Portland, OR 97229
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 3

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.
155 services155 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.
90 services90 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.
60 services60 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy # 17852 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy # 17852

DMEPOS supplier · Portland, OROperated by Oregon CVS Pharmacy LLC
✔

Accepts Medicare assignment

CVS Pharmacy # 17852 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)20312483
Medicare Participant SinceJanuary 1, 2023
Supplier Location12675 NW Cornell RdPortland, OR 97229
Phone(503) 495-3740
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 2

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

SHILAM PATEL
Pharmacist
12675 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 459-3740
JESSICA WOODARD
Pharmacist
12675 NW CORNELL RD
PORTLAND, OR 97229
Washington County (503) 495-3740

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 Oregon CVS Pharmacy LLC's NPI number?

The NPI number for Oregon CVS Pharmacy LLC is 1689327801. It was assigned to this organization in the NPPES registry on January 28, 2022.

Where is Oregon CVS Pharmacy LLC located?

Oregon CVS Pharmacy LLC is located at 12675 NW Cornell Rd, Portland, OR 97229. The listed phone number is (503) 495-3740.

What is Oregon CVS Pharmacy LLC's specialty?

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

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

Yes. As a Medicare medical equipment supplier, CVS Pharmacy # 17852 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Oregon CVS Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2259726) is associated with this NPI, valid through May 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Oregon 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 32 other insurers list Oregon 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 Oregon CVS Pharmacy LLC was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.