Cvs Pharmacy # 04112 is an authorized DME supplier for medicare equipments and products.
Cvs Pharmacy # 04112 is a Pharmacy in Port Orange, Florida. This pharmacy is owned and operated by Holiday Cvs Llc. It is located at 1816 Dunlawton Ave, Port Orange and it's customer support contact number is 386-322-3919. The authorized person of Cvs Pharmacy # 04112 is Susan Colbert who is Director Payer Relations of the pharmacy and his contact number is 401-770-2751.Cvs Pharmacy # 04112 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Cvs Pharmacy # 04112 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:
Cvs Pharmacy # 04112 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:
Cvs Pharmacy # 04112
Type:
Pharmacy
Location:
1816 Dunlawton Ave, Port Orange, Florida, 32127-2921
Phone:
386-322-3919
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:
1366741258
NPI Enumeration Date:
18 Mar, 2011
NPI Last Update On:
06 Oct, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cvs Pharmacy # 04112 are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Community/Retail Pharmacy
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
5704780
Other
Ncpdp
003511300
Medicaid
Florida
003511301
Other
Florida
Dme
Medicare Enrollment:
Cvs Pharmacy # 04112 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
2668534702
O20110620000370
Holiday Cvs Llc
DME SUPPLIER - PHARMACY
Products Available:
Cvs Pharmacy # 04112 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.