CVS PHARMACY INC NPI 1710466610

NPI Information

  • NPI: 1710466610
  • Provider Name: CVS PHARMACY INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: CVS PHARMACY # 11099
  • CLIA Number: 45D2185580
  • Address: 3050 W UNIVERSITY BLVD
    ODESSA, TX
    ZIP 79764
  • Phone: (432) 332-8470

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NPI Details

CVS PHARMACY INC is a pharmacy in Odessa, TX. The provider is 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. CVS PHARMACY INC NPI is 1710466610. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 11099.

The provider's business location address is:

3050 W UNIVERSITY BLVD
ODESSA, TX
ZIP 79764
Phone: (432) 332-8470

The provider's authorized official is Susan F Colbert .
The authorized official title is Sr Director and has the following contact phone number (401) 770-2751.

The CLIA number assigned to this NPI record is 45D2185580 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)

The enumeration date for this NPI number is 8/10/2018 and was last updated on 10/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesTEXASNo
23336C0003XPharmacyCommunity/Retail PharmacyTEXASNo
3333600000XPharmacyTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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