CVS PHARMACY 05352 (GEORGIA CVS PHARMACY LLC) NPI 1982707733

Pharmacy in Duluth, GA

NPI 1982707733 Organization Pharmacy Medicare Supplier Does Not Accept Medicare Approved Payment

About CVS PHARMACY 05352 (GEORGIA CVS PHARMACY LLC)

Cvs Pharmacy 05352 (georgia Cvs Pharmacy Llc) is a provider established in Duluth, Georgia specializing in pharmacy. The NPI number of Cvs Pharmacy 05352 (georgia Cvs Pharmacy Llc) is 1982707733 and was assigned on September 2006. The practitioner's primary taxonomy code is 333600000X with license number 007295 (GA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Cvs Pharmacy 05352. The authorized official of this NPI record is Susan Colbert (Director, Payer Relations)

Cvs Pharmacy 05352 is a medicare supplier with PTAN 5754010173 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Nebulizer Drugs or Parenteral Equipment and/or Supplies or Immunosuppressive Drugs or Oral Anticancer Drugs or Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Heat & Cold Applications or Urological Supplies or Canes and/or Crutches or Oral Antiemetic Drugs or Ostomy Supplies or Blood Glucose Monitors/Supplies (Mail Order) or Parenteral Nutrients or Walkers or Enteral Equipment and/or Supplies or Enteral Nutrients or Nebulizer Equipment and/or Supplies or Surgical Dressings.

NPI

1982707733

Provider NameCVS PHARMACY 05352 (GEORGIA CVS PHARMACY LLC)
Provider Location Address4110 PLEASANT HILL RD DULUTH, GA 30096
Provider Mailing Address1 CVS DR PO BOX 1075 WOONSOCKET, RI 02895
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCVS PHARMACY 05352
Other Name TypeDoing Business As (3)
Enumeration Date09-07-2006
Last Update Date09-08-2011


Primary Taxonomy

Taxonomy Code333600000X
ClassificationPharmacy
TypeSuppliers
License No.007295
License StateGA
Taxonomy DescriptionA 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.

Business Address

CVS PHARMACY 05352
4110 PLEASANT HILL RD
DULUTH, GA
ZIP 30096
Phone: (770) 418-0510

Get Directions


Mailing Address

CVS PHARMACY 05352
1 CVS DR
PO BOX 1075
WOONSOCKET, RI
ZIP 02895
Phone: (401) 765-1500



Authorized Official

Authorized Official Name SUSAN COLBERT
Authorized Official TitleDIRECTOR, PAYER RELATIONS
Authorized Official Phone(401) 770-2751

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN5754010173
Accepts Medicare AssignmentNO
Specialities ListPharmacy.
Supplies List
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Parenteral Equipment and/or Supplies - Parenteral infusion pumps, parenteral nutrition supply kits
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Oral Anticancer Drugs - FDA anticancer 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
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Urological Supplies - Catheters, Urinary collection devices
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Parenteral Nutrients - Parenteral nutrient solutions
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Enteral Nutrients - Enteral formula
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
Competitive BiddingNO

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
13336C0003XSuppliersPharmacyCommunity/Retail PharmacyNo

Taxonomy Description: a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
202G738984MEDICARE PIN (08)
1136907OTHER (01)
5754010173MEDICARE NSC (07)

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003419516 BONGSU KANG HONG
Individual
Pharmacist4110 PLEASANT HILL RD
DULUTH, GA 30096
(770) 418-0510
1598368615 TOM MAGUTU RPH
Individual
Pharmacist4110 PLEASANT HILL RD
DULUTH, GA 30096
(770) 418-0510

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.