CVS PHARMACY # 06096
NPI 1760586598
Pharmacy in Edmond, OK

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 333600000X.

Active since September 12, 2006CLIA 37D2217122 · Waiver

1301 N SANTA FE AVE, EDMOND, OK 73003(405) 340-0522(405) 359-8853 Get Directions Write a Review

NPPES record last updated: November 7, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Cvs Pharmacy # 06096 NPPES

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

CVS PHARMACY # 06096 (NPI 1760586598) is a healthcare organization registered as a pharmacy in Edmond, Oklahoma and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Susan F Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1760586598

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameOKLAHOMA CVS PHARMACY LLC

Location Address1301 N SANTA FE AVEEdmond, OK 73003-3673

Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500

Phone(405) 340-0522

Fax(405) 359-8853

Organization SubpartNo

Authorized OfficialSusan F ColbertDirector, Payer Relations · (401) 770-2751

Enumeration DateSeptember 12, 2006

Last NPPES UpdateNovember 7, 2014

✔ NPI 1760586598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in OK · 1-5389

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

1301 N SANTA FE AVE, Edmond, OK 73003

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Other Names 1

Doing Business AsCvs Pharmacy # 06096

Other Identifiers 4

Medicare NSC5887790005OK

Other3715426Other Id Number-commercial Number

Medicare PINOKB5986

Medicaid90003920857OK

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 37D2217122

Cvs/Pharmacy #06096 Oklahoma CVS Pharmacy, LLC · Edmond, OK

Active · expires Mar 17, 2027

CLIA Number37D2217122

Laboratory TypePharmacy

Certificate Effective DateMarch 18, 2025

Certificate Expiration DateMarch 17, 2027

Laboratory DirectorSheba Matthew

Laboratory Phone(405) 340-0550

Laboratory LocationCvs/Pharmacy #06096 Oklahoma CVS Pharmacy, LLC1301 N Santa Fe Ave, Edmond, OK 73003

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count K1034

This service provides a FDA-approved COVID-19 test kit for personal use. The test is self-administered and self-collected, meaning you conduct the test yourself. The kit contains all necessary items for one test. Follow the instructions carefully to ensure accurate results.

659 services80 patients

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.

292 services292 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.

246 services246 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.

39 services39 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.

39 services39 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.

38 services38 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN: 20312189
Accepts Medicare Assignment: YES
Specialities List: Pharmacy.
Competitive Bidding: NO

Supplies List

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
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
Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
Urological Supplies - Catheters, Urinary collection devices
Enteral Nutrients - Enteral formula
Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
Parenteral Nutrients - Parenteral nutrient solutions
Parenteral Equipment and/or Supplies - Parenteral infusion pumps, parenteral nutrition supply kits
Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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. TASHA STONG PHARMD

Pharmacist