CVS PHARMACY # 04828 – Pharmacy, NPI 1417050238
Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CVS PHARMACY # 04828
First Baptist Church of Hueytown, Allison-Bonnett Memorial Drive, Hueytown Crest, Hueytown, Jefferson County, Alabama, 35023, United States
HUEYTOWN, AL 35023
Phone: (205) 744-9610
Type: Location
CVS Caremark Corporation, 1, CVS Drive, Woonsocket, Providence County, Rhode Island, 02895, United States
BOX 1075
WOONSOCKET, RI 028956146
Phone: (401) 765-1500
Type: Mailing
3022 ALLISON BON DR
HUEYTOWN, AL 350232361
Phone: (205) 744-0071
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100930059705 | O | Pharmacy | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 238 | 27 | $0 |
| G0008 | Administration of influenza virus vaccine | 42 | 42 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 29 | 29 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 29 | 29 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 26 | 26 | $0 |
Insurance plans in this area (ZIP 35023)
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