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CVS PHARMACY #10862
NPI 1962914838
Pharmacy in Gardner, KS

Active since October 31, 2017CLIA 17D2225740 · Waiver
110 W MAIN ST, GARDNER, KS 66030(401) 765-1500 Get Directions Write a Review

NPPES record last updated: October 31, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cvs Pharmacy #10862 NPPES

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

CVS PHARMACY #10862 (NPI 1962914838) is a healthcare organization registered as a pharmacy in Gardner, Kansas and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Susan F Colbert, Sr. Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1962914838
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameKANSAS CVS PHARMACY, L.L.C
Location Address110 W MAIN STGardner, KS 66030-1106
Mailing Address1 Cvs DrWoonsocket, RI 02895-6146 · (401) 765-1500
Phone(401) 765-1500
Organization SubpartNo
Authorized OfficialSusan F ColbertSr. Director Payer Relations · (401) 765-1500
Enumeration DateOctober 31, 2017
✔ NPI 1962914838 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
110 W MAIN ST, Gardner, KS 66030
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Other Names 1

Doing Business AsCvs Pharmacy #10862

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 17D2225740

Kansas CVS Pharmacy, LLC Dba Cvs/Pharmacy #10862 · Gardner, KS
Active · expires May 23, 2027
CLIA Number17D2225740
Laboratory TypePharmacy
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorSamuel L. Glennon
Laboratory Phone(866) 389-2727
Laboratory LocationKansas CVS Pharmacy, LLC Dba Cvs/Pharmacy #10862110 West Main St, Gardner, KS 66030
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.
155 services155 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.
143 services143 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #10862 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #10862

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

Accepts Medicare assignment

CVS Pharmacy #10862 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)20326145
Medicare Participant SinceJanuary 1, 2023
Supplier Location110 W Main StGardner, KS 66030
Phone(913) 856-0280
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 2

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

DR. SILAS KIPKURUI ROTICH RPH
Pharmacist
110 W MAIN ST
GARDNER, KS 66030
Johnson County (913) 856-0280
SARAH MEIER PHARMD
Pharmacist
110 W MAIN ST
GARDNER, KS 66030
Johnson County (913) 856-0280

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, L.L.C's NPI number?

The NPI number for Kansas CVS Pharmacy, L.L.C is 1962914838. It was assigned to this organization in the NPPES registry on October 31, 2017. The provider is doing business as CVS Pharmacy #10862.

Where is Kansas CVS Pharmacy, L.L.C located?

Kansas CVS Pharmacy, L.L.C is located at 110 W Main St, Gardner, KS 66030. The listed phone number is (401) 765-1500.

What is Kansas CVS Pharmacy, L.L.C's specialty?

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

Does Kansas CVS Pharmacy, L.L.C accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #10862 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Kansas CVS Pharmacy, L.L.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2225740) 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, L.L.C 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, L.L.C 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, L.L.C was last updated on October 31, 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.