CVS PHARMACY #04569
NPI 1881797611
Pharmacy in Albany, GA

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

The NPI number for Georgia CVS Pharmacy, L.L.C. is 1881797611. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as CVS Pharmacy #04569.

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

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

Active since September 07, 2006CLIA 11D2256765 · Waiver

609 N WESTOVER BLVD, ALBANY, GA 31707(229) 439-2554 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cvs Pharmacy #04569 NPPES

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

CVS PHARMACY #04569 (NPI 1881797611) is a healthcare organization registered as a pharmacy in Albany, Georgia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through March 27, 2028 and lists Susan F Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1881797611

Entity TypeOrganization

Primary Taxonomy333600000X

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

Location Address609 N WESTOVER BLVDAlbany, GA 31707-2188

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

Phone(229) 439-2554

Organization SubpartNo

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

Enumeration DateSeptember 7, 2006

Last NPPES UpdateDecember 20, 2022

NPPES CertifiedDecember 20, 2022

✔ NPI 1881797611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in GA · 007013

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

609 N WESTOVER BLVD, Albany, GA 31707

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Other Names 1

Doing Business AsCvs Pharmacy #04569

Other Identifiers 2

Other1133242Other Id Number-commercial Number

Medicaid000382588BGA

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 11D2256765

Georgia CVS Pharmacy, LLC, Dba Cvs/Pharmacy #04569 · Albany, GA

Active · expires Mar 27, 2028

CLIA Number11D2256765

Laboratory TypePharmacy

Certificate Effective DateMarch 28, 2026

Certificate Expiration DateMarch 27, 2028

Laboratory DirectorHannah Njoh

Laboratory Phone(229) 439-2554

Laboratory LocationGeorgia CVS Pharmacy, LLC, Dba Cvs/Pharmacy #04569609 N Westover Boulevard, Albany, GA 31707

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 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.

212 services212 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.

109 services109 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.

95 services95 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.

28 services28 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.

23 services23 patients

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.

TIFFANY SOMEREVILLE PHARM.D.

Pharmacist