Cvs State Capital Llc
Pharmacy
1 Kennedy Memorial Dr, Waterville
Maine, 04901-5125
207-873-7161 Cvs State Capital Llc is a Pharmacy in Waterville, Maine. It is located at 1 Kennedy Memorial Dr, Waterville and it's customer support contact number is 207-873-7161. The authorized person of Cvs State Capital Llc is Susan Colbert who is Director of the pharmacy and his contact number is 401-765-1500. Active license number of Cvs State Capital Llc is PH50000111 for Pharmacy in Maine. Cvs State Capital Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Cvs State Capital Llc 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 State Capital Llc 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 State Capital Llc |
| Type: | Pharmacy |
| Location: | 1 Kennedy Memorial Dr, Waterville,
Maine, 04901-5125 |
| Phone: | 207-873-7161 |
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 |
| Contact Number: | 401-765-1500 |
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: | 1508960428 |
| NPI Enumeration Date: | 12 Sep, 2006 |
| NPI Last Update On: | 07 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 State Capital Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | PH50000111 | Maine | 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 |
| 2003399 | Other | | Other Id Number-commercial Number |
Medicare Enrollment:
Cvs State Capital Llc 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 |
| 6204968092 | O20100930036082 | Cvs State Capital Llc | DME SUPPLIER - PHARMACY |
Products Available:
Cvs State Capital Llc 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, Po Box 1075
Woonsocket, Rhode Island |
| Zip: | 02895-6146 |
| Phone Number: | -- |
Patients can reach Cvs State Capital Llc at
1 Kennedy Memorial Dr, Waterville, Maine or can
call on customer care at 207-873-7161.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.