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CVS PHARMACY # 06021
NPI 1689778417
Pharmacy in Moore, OK

Active since September 12, 2006
800 SE 4TH ST, MOORE, OK 73160(405) 794-1539(405) 794-5804 Get Directions Write a Review

NPPES record last updated: November 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy # 06021 NPPES

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

CVS PHARMACY # 06021 (NPI 1689778417) is a healthcare organization registered as a pharmacy in Moore, Oklahoma and active in the NPI registry since September 2006. The organization lists Susan F Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1689778417
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameOKLAHOMA CVS PHARMACY LLC
Location Address800 SE 4TH STMoore, OK 73160-7210
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(405) 794-1539
Fax(405) 794-5804
Organization SubpartNo
Authorized OfficialSusan F ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateSeptember 12, 2006
Last NPPES UpdateNovember 7, 2014
✔ NPI 1689778417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in OK · 7-5385
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
800 SE 4TH ST, Moore, OK 73160
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Other Names 1

Doing Business AsCvs Pharmacy # 06021

Other Identifiers 4

Medicaid90003916640OK
Medicare PINOKB5986
Medicare NSC5887790034OK
Other3712836Other Id Number-commercial Number

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 ›

Areas of Expertise CMS Part B claims 6

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.
238 services234 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.
165 services165 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.
52 services52 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.
13 services13 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.
13 services13 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
11 services11 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #06021 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #06021

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

Accepts Medicare assignment

CVS Pharmacy #06021 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)20308823
Medicare Participant SinceJanuary 1, 2023
Supplier Location800 SE 4th StMoore, OK 73160
Phone(405) 794-1539
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 5

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

DR. DALLAS MICAH NIMSEY PHARM.D
Pharmacist
800 SE 4TH ST
MOORE, OK 73160
Cleveland County (405) 794-1539
JAMES NGUYEN PHARM.D
Pharmacist
800 SE 4TH ST
MOORE, OK 73160
Cleveland County (405) 794-1539
JUSTIN FEESE PHARMD
Pharmacist
800 SE 4TH ST
MOORE, OK 73160
Cleveland County (405) 794-1539
ABDUL-RAHMAN AL-JARRAH
Pharmacist
800 SE 4TH ST
MOORE, OK 73160
Cleveland County (405) 794-1539
DAVID WILLIAM SMITH PHARM D.
Pharmacist
800 SE 4TH ST
MOORE, OK 73160
Cleveland County (405) 794-1539

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 1689778417. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as CVS Pharmacy # 06021.

Where is Oklahoma CVS Pharmacy LLC located?

Oklahoma CVS Pharmacy LLC is located at 800 SE 4th St, Moore, OK 73160. The listed phone number is (405) 794-1539.

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 #06021 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 November 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.