CVS Pharmacy #16130 – Pharmacy, NPI 1013939701

CVS Pharmacy #16130 is a healthcare provider. based in Woonsocket, Rhode Island. specializing in Pharmacy. The organization holds a License No. PHAR.CF.60617456 (WA). The NPI Number for CVS Pharmacy #16130 is 1013939701

Main info

Organization
Name
CVS Pharmacy #16130
NPI
1013939701
Phone
(401) 765-1500
Address
1 CVS DR
Authorized Official
SUSAN COLBERT SR. DIRECTOR, PAYER RELATIONS
Enumeration Date
24 July 2006
Last Update Date
30 November 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for CVS Pharmacy #16130

  • 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

  • 5618, Lakewood Towne Center Boulevard Southwest, Lakewood Towne Center, Clinton Park, Lakewood, Pierce County, Washington, 98499, United States

    LAKEWOOD, WA 984993894

    Phone: (253) 414-1232

    Fax: (253) 414-1232

    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: 2016-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-07-31 (314 days ago).

Enrollment records

1

Earliest due date

2025-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20161117000430OPharmacyWA2025-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count55051$0
G0008Administration of influenza virus vaccine129129$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage9494$0
90480Admn sarscov2 vacc 1 dose8888$0
91320Sarscv2 vac 30mcg trs-suc im8888$0
View full utilization report →

Insurance plans in this area (ZIP 02895)

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Reviews

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Frequently asked questions

Is there an official ID for CVS Pharmacy #16130 in U.S. healthcare records?
The official identifier for CVS Pharmacy #16130 is NPI 1013939701.
Would CVS Pharmacy #16130 appear as active to a payer?
You can treat CVS Pharmacy #16130 as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for CVS Pharmacy #16130?
At a glance, CVS Pharmacy #16130 is tied to Pharmacy. Clinical services aligned with this taxonomy classification.
Where in Rhode Island is CVS Pharmacy #16130 registered?
Use Woonsocket, Rhode Island as the headline location for CVS Pharmacy #16130 here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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