CVS PHARMACY #11155
NPI 1922524859
Pharmacy in Toledo, OH

Q: What is Ohio CVS Stores LLC's NPI number?

The NPI number for Ohio CVS Stores LLC is 1922524859. It was assigned to this organization in the NPPES registry on August 22, 2017. The provider is doing business as CVS Pharmacy #11155.

Q: What is Ohio CVS Stores LLC's specialty?

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

Active since August 22, 2017CLIA 36D2185930 · Waiver

2104 S. BYRNE RD, TOLEDO, OH 43614(419) 389-9112 Get Directions Write a Review

NPPES record last updated: October 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cvs Pharmacy #11155 NPPES

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

CVS PHARMACY #11155 (NPI 1922524859) is a healthcare organization registered as a pharmacy in Toledo, Ohio and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through June 10, 2028 and lists Susan Colbert, Sr Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1922524859

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameOHIO CVS STORES LLC

Location Address2104 S. BYRNE RDToledo, OH 43614

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

Phone(419) 389-9112

Organization SubpartNo

Authorized OfficialSusan ColbertSr Director Payer Relations · (401) 770-2751

Enumeration DateAugust 22, 2017

Last NPPES UpdateOctober 4, 2017

✔ NPI 1922524859 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

2104 S. BYRNE RD, Toledo, OH 43614

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Other Names 1

Doing Business AsCvs Pharmacy #11155

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 36D2185930

Ohio CVS Stores, LLC Dba Cvs/Pharmacy #11155 · Toledo, OH

Active · expires Jun 10, 2028

CLIA Number36D2185930

Laboratory TypePharmacy

Certificate Effective DateJune 11, 2026

Certificate Expiration DateJune 10, 2028

Laboratory DirectorMikayla Fisher

Laboratory Phone(401) 770-6431

Laboratory LocationOhio CVS Stores, LLC Dba Cvs/Pharmacy #111552104 S Byrne Road, Toledo, OH 43614

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 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.

284 services283 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.

140 services140 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.

133 services133 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.

18 services18 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.

18 services18 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 Ohio CVS Stores LLC's NPI number?

The NPI number for Ohio CVS Stores LLC is 1922524859. It was assigned to this organization in the NPPES registry on August 22, 2017. The provider is doing business as CVS Pharmacy #11155.

Where is Ohio CVS Stores LLC located?

Ohio CVS Stores LLC is located at 2104 S. Byrne Rd, Toledo, OH 43614. The listed phone number is (419) 389-9112.

What is Ohio CVS Stores LLC's specialty?

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

Does Ohio CVS Stores LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2185930) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ohio CVS Stores 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 34 other insurers list Ohio CVS Stores 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 Ohio CVS Stores LLC was last updated on October 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.