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CVS PHARMACY#04802
NPI 1891898557
Pharmacy in Hartville, OH

Active since September 07, 2006CLIA 36D2279404 · Waiver
600 W MAPLE ST, HARTVILLE, OH 44632(330) 877-0311 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cvs Pharmacy#04802 NPPES

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

CVS PHARMACY#04802 (NPI 1891898557) is a healthcare organization registered as a pharmacy in Hartville, Ohio and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Susan Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1891898557
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameOHIO CVS STORES LLC
Location Address600 W MAPLE STHartville, OH 44632-9643
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(330) 877-0311
Organization SubpartNo
Authorized OfficialSusan ColbertDirector · (401) 765-1500
Enumeration DateSeptember 7, 2006
Last NPPES UpdateOctober 25, 2011
✔ NPI 1891898557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in OH · 2574700
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
600 W MAPLE ST, Hartville, OH 44632
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Other Names 1

Doing Business AsCvs Pharmacy#04802

Other Identifiers 4

Medicare NSC5660250226
Other3650670Other Id Number-commercial Number
Medicare PINFV96411
Medicare PINP00962194

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 36D2279404

Ohio CVS Stores, LLC Cvspharmacy #04802 · Hartville, OH
Active · expires Apr 2, 2027
CLIA Number36D2279404
Laboratory TypePharmacy
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorTillakos Paranomitis
Laboratory Phone(330) 877-0311
Laboratory LocationOhio CVS Stores, LLC Cvspharmacy #04802600 West Maple St, Hartville, OH 44632
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 4

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.
1,262 services137 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.
137 services136 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.
123 services122 patients
Adm sarscv2 bvl 30mcg/.3ml a 0124A
The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.
17 services17 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories CVS Pharmacy # 04802 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy # 04802

DMEPOS supplier · Hartville, OHOperated by Ohio CVS Stores LLC
⋮

Does not accept Medicare assignment

CVS Pharmacy # 04802 has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20447303
Medicare Participant SinceJanuary 1, 2019
Supplier Location600 W Maple StreetHartville, OH 44632
Phone(330) 877-0311
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
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
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.

DAVID H HABERLAND RPH.
Pharmacist
600 W MAPLE ST
HARTVILLE, OH 44632
Stark County (330) 877-0311
DR. RICHARD DOWNS
Pharmacist
600 W MAPLE ST
HARTVILLE, OH 44632
Stark County (330) 338-2778
PANORMITIS JOHN TILIAKOS
Pharmacist
600 W MAPLE ST
HARTVILLE, OH 44632
Stark County (330) 877-0311
NICOLE ASHLEY STARR
Pharmacist
600 W MAPLE ST
HARTVILLE, OH 44632
Stark County (330) 877-0311

Frequently Asked Questions

What is OHIO CVS STORES LLC's NPI number?

The NPI number assigned to this healthcare provider is 1891898557, enumerated as an "organization" on September 07, 2006.

Where is the provider located?

The provider is located at 600 W MAPLE ST HARTVILLE, OH 44632 and the phone number is (330) 877-0311.

What is the provider's specialty?

Pharmacy with taxonomy code 333600000X.

What insurance does OHIO CVS STORES LLC accept?

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.