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CVS PHARMACY#08580
NPI 1902847809
Pharmacy in Shawnee, KS

Active since June 10, 2006CLIA 17D2225745 · Waiver
6510 NIEMAN RD, SHAWNEE, KS 66203(913) 248-0437 Get Directions Write a Review

NPPES record last updated: September 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cvs Pharmacy#08580 NPPES

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

CVS PHARMACY#08580 (NPI 1902847809) is a healthcare organization registered as a pharmacy in Shawnee, Kansas and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Cristiana Mauricio, Manager Pharmacy Enrollments, as its authorized official.

NPPES Registry Identity

NPI1902847809
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameKANSAS CVS PHARMACY LLC
Location Address6510 NIEMAN RDShawnee, KS 66203-3328
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Phone(913) 248-0437
Organization SubpartNo
Authorized OfficialCristiana MauricioManager Pharmacy Enrollments · (401) 770-2937
Enumeration DateJune 10, 2006
Last NPPES UpdateSeptember 30, 2014
✔ NPI 1902847809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
6510 NIEMAN RD, Shawnee, KS 66203
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Other Names 1

Doing Business AsCvs Pharmacy#08580

Other Identifiers 4

Medicare PIN9004290
Medicare PINP00754432
Other1718824Other Id Number-commercial Number
Medicare NSC5721150017

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 17D2225745

Kansas CVS Pharmacy, LLC Dba Cvs/Pharmacy #08580 · Shawnee, KS
Active · expires May 23, 2027
CLIA Number17D2225745
Laboratory TypePharmacy
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorParool Patel
Laboratory Phone(866) 389-2727
Laboratory LocationKansas CVS Pharmacy, LLC Dba Cvs/Pharmacy #085806510 Nieman Rd, Shawnee, KS 66203
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 2

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.
197 services197 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.
184 services184 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #08580 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #08580

DMEPOS supplier · Shawnee, KSOperated by Kansas CVS Pharmacy LLC
✔

Accepts Medicare assignment

CVS Pharmacy #08580 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)20325767
Medicare Participant SinceJanuary 1, 2023
Supplier Location6510 Nieman RdShawnee, KS 66203
Phone(913) 248-0437
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 3

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

SARAH JASIM
Pharmacist
6510 NIEMAN RD
SHAWNEE, KS 66203
Johnson County (913) 382-9431
PAROOL PATEL
Pharmacist
6510 NIEMAN RD
SHAWNEE, KS 66203
Johnson County (913) 248-0437
JONATHAN MURRAY
Pharmacist
6510 NIEMAN RD
SHAWNEE, KS 66203
Johnson County (913) 248-0437

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 Kansas CVS Pharmacy LLC's NPI number?

The NPI number for Kansas CVS Pharmacy LLC is 1902847809. It was assigned to this organization in the NPPES registry on June 10, 2006. The provider is doing business as CVS Pharmacy#08580.

Where is Kansas CVS Pharmacy LLC located?

Kansas CVS Pharmacy LLC is located at 6510 Nieman Rd, Shawnee, KS 66203. The listed phone number is (913) 248-0437.

What is Kansas CVS Pharmacy LLC's specialty?

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

Does Kansas CVS Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #08580 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Kansas CVS Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2225745) is associated with this NPI, valid through May 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kansas CVS Pharmacy LLC 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 Kansas CVS Pharmacy LLC 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 Kansas CVS Pharmacy LLC was last updated on September 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.