CVS PHARMACY # 01188
NPI 1801009196
Pharmacy in Old Forge, PA

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

The NPI number for Pennsylvania CVS Pharmacy, L.L.C. is 1801009196. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is doing business as CVS Pharmacy # 01188.

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

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

Active since May 07, 2007

101 S. MAIN ST, OLD FORGE, PA 18518(401) 765-1500 Get Directions Write a Review

NPPES record last updated: September 11, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Cvs Pharmacy # 01188 NPPES

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

CVS PHARMACY # 01188 (NPI 1801009196) is a healthcare organization registered as a pharmacy in Old Forge, Pennsylvania and active in the NPI registry since May 2007. The organization lists Thomas Ryan, Chairman, as its authorized official.

NPPES Registry Identity

NPI1801009196

Entity TypeOrganization

Primary Taxonomy333600000X

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

Location Address101 S. MAIN STOld Forge, PA 18518

Mailing AddressOne Cvs Drive, Box 1075-pharmacy EnrollmentsWoonsocket, RI 02895 · (401) 765-1500 · Fax (401) 770-7108

Phone(401) 765-1500

Organization SubpartNo

Authorized OfficialThomas RyanChairman · (401) 765-1500

Enumeration DateMay 7, 2007

Last NPPES UpdateSeptember 11, 2014

✔ NPI 1801009196 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

101 S. MAIN ST, Old Forge, PA 18518

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Other Names 1

Doing Business AsCvs Pharmacy # 01188

Other Identifiers 1

Medicare NSC5619370013

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cvs Pharmacy # 01188 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StatePennsylvaniaEnrollment IDO20100930056818DME · PharmacyDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 5

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.

307 services306 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.

250 services250 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.

36 services36 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.

21 services21 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.

21 services21 patients

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 Pennsylvania CVS Pharmacy, L.L.C.'s NPI number?

The NPI number for Pennsylvania CVS Pharmacy, L.L.C. is 1801009196. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is doing business as CVS Pharmacy # 01188.

Where is Pennsylvania CVS Pharmacy, L.L.C. located?

Pennsylvania CVS Pharmacy, L.L.C. is located at 101 S. Main St, Old Forge, PA 18518. The listed phone number is (401) 765-1500.

What is Pennsylvania CVS Pharmacy, L.L.C.'s specialty?

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

Is Pennsylvania CVS Pharmacy, L.L.C. enrolled in Medicare?

Yes. Pennsylvania CVS Pharmacy, L.L.C. is registered in the Medicare PECOS enrollment system.

When is Pennsylvania CVS Pharmacy, L.L.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Pennsylvania, Pharmacy) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Pennsylvania CVS Pharmacy, L.L.C. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 30 other insurers list Pennsylvania CVS Pharmacy, L.L.C. 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 Pennsylvania CVS Pharmacy, L.L.C. was last updated on September 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.