CVS PHARMACY # 06775
NPI 1720182538
Pharmacy in Grand Prairie, TX

Active since September 12, 2006CLIA 45D2281383 · Waiver
701 E MAIN ST, GRAND PRAIRIE, TX 75050(972) 264-2371(972) 642-4801 Get Directions Write a Review

NPPES record last updated: February 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy # 06775 NPPES

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

CVS PHARMACY # 06775 (NPI 1720182538) is a healthcare organization registered as a pharmacy in Grand Prairie, Texas and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Susan Colbert, Director, Managed Care Admin, as its authorized official.

NPPES Registry Identity

NPI1720182538
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCVS PHARMACY INC
Location Address701 E MAIN STGrand Prairie, TX 75050-5867
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Fax(972) 642-4801
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Managed Care Admin · (401) 770-2751
Enumeration DateSeptember 12, 2006
Last NPPES UpdateFebruary 25, 2015
NPI 1720182538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in TX · 24651
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
701 E MAIN ST, Grand Prairie, TX 75050

Other Names 1

Doing Business AsCvs Pharmacy # 06775

Other Identifiers 5

Medicare PINPH0708TX
Other4507072Other Id Number-commercial Number
Other207438701TX · Dme
Medicaid460434TX
Medicare NSC1284730454

Accepted 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 45D2281383

CVS Pharmacy, Inc Dba Cvspharmacy #06775 · Grand Prairie, TX
Active · expires May 4, 2027
CLIA Number45D2281383
Laboratory TypePharmacy
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorErica Kim
Laboratory Phone(972) 264-2371
Laboratory LocationCVS Pharmacy, Inc Dba Cvspharmacy #06775701 E Main St, Grand Prairie, TX 75050
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 2

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.
31 services31 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.
23 services23 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #06775 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #06775

DMEPOS supplier · Grand Prairie, TXOperated by CVS Pharmacy Inc

Accepts Medicare assignment

CVS Pharmacy #06775 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)20316077
Medicare Participant SinceJanuary 1, 2023
Supplier Location701 E Main StGrand Prairie, TX 75050
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

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

Pharmacist
701 E MAIN ST
GRAND PRAIRIE, TX 75050

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 1720182538. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as CVS Pharmacy # 06775.

Where is CVS Pharmacy Inc located?

CVS Pharmacy Inc is located at 701 E Main St, Grand Prairie, TX 75050. The listed phone number is (972) 264-2371.

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 #06775 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does CVS Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2281383) is associated with this NPI, valid through May 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 February 25, 2015. 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.