CVS PHARMACY #05994
NPI 1851657464
Pharmacy in Espanola, NM

Active since April 09, 2012CLIA 32D2185865 · Waiver
1202 N RIVERSIDE DR, ESPANOLA, NM 87532(505) 367-3594 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cvs Pharmacy #05994 NPPES

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

CVS PHARMACY #05994 (NPI 1851657464) is a healthcare organization registered as a pharmacy in Espanola, New Mexico and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Susan Colbert, Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1851657464
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCVS PHARMACY INC
Location Address1202 N RIVERSIDE DREspanola, NM 87532-2976
Mailing Address1 Cvs Dr, Box 1075 - Pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (401) 765-1500
Organization SubpartNo
Authorized OfficialSusan ColbertDirector Payer Relations · (401) 765-1500
Enumeration DateApril 9, 2012
Last NPPES UpdateOctober 31, 2012
NPI 1851657464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in NM · PH00003410
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
1202 N RIVERSIDE DR, Espanola, NM 87532

Other Names 1

Doing Business AsCvs Pharmacy #05994

Other Identifiers 5

Medicaid47737727NM
Other3212331Ncpdp
Medicare NSC1284730919
Other26730031NM · Nm Medicaid/dme
Medicare PINNMB2461

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 32D2185865

CVS Pharmacy Inc Dba Cvs/Pharmacy #5994 · Espanola, NM
Active · expires Jun 9, 2028
CLIA Number32D2185865
Laboratory TypePharmacy
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorVanessa Mba
Laboratory Phone(401) 770-6431
Laboratory LocationCVS Pharmacy Inc Dba Cvs/Pharmacy #59941202 N Riverside Dr, Espanola, NM 87532
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 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.
415 services412 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.
214 services214 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.
163 services163 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
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304
The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.
19 services17 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #05994 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #05994

DMEPOS supplier · Espanola, NMOperated by CVS Pharmacy Inc

Accepts Medicare assignment

CVS Pharmacy #05994 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)20340857
Medicare Participant SinceJanuary 1, 2023
Supplier Location1202 N Riverside DrEspanola, NM 87532
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 4

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

Pharmacist
1202 N RIVERSIDE DR
ESPANOLA, NM 87532
Pharmacist
1202 N RIVERSIDE DR
ESPANOLA, NM 87532
Pharmacist
1202 N RIVERSIDE DR, CVS PHARMACY
ESPANOLA, NM 87532
Pharmacist
1202 N RIVERSIDE DR
ESPANOLA, NM 87532

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 1851657464. It was assigned to this organization in the NPPES registry on April 9, 2012. The provider is doing business as CVS Pharmacy #05994.

Where is CVS Pharmacy Inc located?

CVS Pharmacy Inc is located at 1202 N Riverside Dr, Espanola, NM 87532. The listed phone number is (505) 367-3594.

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 #05994 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 32D2185865) is associated with this NPI, valid through June 9, 2028. 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 33 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 October 31, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.