Pennsylvania Cvs Pharmacy, L.l.c.
Pharmacy
1630 S Atherton St, State College
Pennsylvania, 16801-6209
814-237-1479 Pennsylvania Cvs Pharmacy, L.l.c. is a Pharmacy in State College, Pennsylvania. It is located at 1630 S Atherton St, State College and it's customer support contact number is 814-237-1479. The authorized person of Pennsylvania Cvs Pharmacy, L.l.c. is Susan Colbert who is Director, Payer Relations of the pharmacy and his contact number is 401-770-2751. Active license number of Pennsylvania Cvs Pharmacy, L.l.c. is PP411825L for Pharmacy in Pennsylvania. Pennsylvania Cvs Pharmacy, L.l.c. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Pennsylvania Cvs Pharmacy, L.l.c. 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.
Pharmacy Details:
Pennsylvania Cvs Pharmacy, L.l.c. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Pennsylvania Cvs Pharmacy, L.l.c. |
| Type: | Pharmacy |
| Location: | 1630 S Atherton St, State College,
Pennsylvania, 16801-6209 |
| Phone: | 814-237-1479 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Susan Colbert |
| Position: | Director, Payer Relations |
| Contact Number: | 401-770-2751 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1598866055 |
| NPI Enumeration Date: | 26 Sep, 2006 |
| NPI Last Update On: | 12 Sep, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pennsylvania Cvs Pharmacy, L.l.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | PP411825L | Pennsylvania | Primary | |
| Community/Retail Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3902574 | Other | | Other Id Number-commercial Number |
Medicare Enrollment:
Pennsylvania Cvs Pharmacy, L.l.c. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8527149566 | O20100930011377 | Pennsylvania Cvs Pharmacy, L.l.c. | DME SUPPLIER - PHARMACY |
Products Available:
Pennsylvania Cvs Pharmacy, L.l.c. has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Heat & Cold Applications | • Nebulizer Equipment & Supplies |
| • Ostomy Supplies | • Parenteral Equipment And/or Supplies |
| • Parenteral Nutrients | • Surgical Dressings |
| • Urological Supplies | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1 Cvs Dr, Box 1075
Woonsocket, Rhode Island |
| Zip: | 02895-6146 |
| Phone Number: | -- |
Patients can reach Pennsylvania Cvs Pharmacy, L.l.c. at
1630 S Atherton St, State College, Pennsylvania or can
call on customer care at 814-237-1479.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.