CVS PHARMACY# 05866
NPI 1780788638
Pharmacy in Louisville, KY

Q: What is Kentucky CVS Pharmacy, L.L.C.'s NPI number?

The NPI number for Kentucky CVS Pharmacy, L.L.C. is 1780788638. It was assigned to this organization in the NPPES registry on September 12, 2006. The provider is doing business as CVS Pharmacy# 05866.

Q: What is Kentucky CVS Pharmacy, L.L.C.'s specialty?

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

Active since September 12, 2006CLIA 18D2223765 · Waiver

13900 SHELBYVILLE RD, LOUISVILLE, KY 40245(502) 253-1959 Get Directions Write a Review

NPPES record last updated: January 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Cvs Pharmacy# 05866 NPPES

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

CVS PHARMACY# 05866 (NPI 1780788638) is a healthcare organization registered as a pharmacy in Louisville, Kentucky and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Susan F Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1780788638

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameKENTUCKY CVS PHARMACY, L.L.C.

Location Address13900 SHELBYVILLE RDLouisville, KY 40245-3906

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

Phone(502) 253-1959

Organization SubpartNo

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

Enumeration DateSeptember 12, 2006

Last NPPES UpdateJanuary 14, 2013

✔ NPI 1780788638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in KY · P06913

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

13900 SHELBYVILLE RD, Louisville, KY 40245

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Other Names 1

Doing Business AsCvs Pharmacy# 05866

Other Identifiers 4

Medicare NSC6031860028KY

Other1828283Other Id Number-commercial Number

Medicare PINP00959527KY

Medicare PINP300023924KY

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 18D2223765

Kentucky CVS Pharmacy, LLC Dba CVS / Pharmacy #05866 · Louisville, KY

Active · expires May 9, 2027

CLIA Number18D2223765

Laboratory TypePharmacy

Certificate Effective DateMay 10, 2025

Certificate Expiration DateMay 9, 2027

Laboratory DirectorMr. James Redmond

Laboratory Phone(866) 389-2727

Laboratory LocationKentucky CVS Pharmacy, LLC Dba CVS / Pharmacy #0586613900 Shelbyville Rd, Louisville, KY 40245

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 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.

199 services199 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.

126 services126 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.

60 services60 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #05866 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #05866

DMEPOS supplier · Louisville, KYOperated by Kentucky CVS Pharmacy LLC

✔

Accepts Medicare assignment

CVS Pharmacy #05866 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)20310695

Medicare Participant SinceJanuary 1, 2023

Supplier Location13900 Shelbyville RdLouisville, KY 40245

Phone(502) 253-1959

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.

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Other Providers at the Same Location NPPES 8

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

JAMES A REDMOND

Pharmacist (Ambulatory Care)