CVS PHARMACY # 03110 – Pharmacy, NPI 1740384684

CVS PHARMACY # 03110 is a healthcare provider. based in Woonsocket, Rhode Island. specializing in Pharmacy. The organization holds a License No. 054-014663 (IL). The NPI Number for CVS PHARMACY # 03110 is 1740384684

Main info

Organization
Name
CVS PHARMACY # 03110
NPI
1740384684
Phone
(401) 765-1500
Address
1 CVS DR
Authorized Official
SUSAN COLBERT DIRECTOR, PAYER RELATIONS
Enumeration Date
12 September 2006
Last Update Date
5 January 2026

Contacts

Main Contact
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness100
Years active:19State licenses:17/7 NPPES fields on file

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Provider Addresses for CVS PHARMACY # 03110

  • CVS Caremark Corporation, 1, CVS Drive, Woonsocket, Providence County, Rhode Island, 02895, United States

    WOONSOCKET, RI 028956146

    Phone: (401) 765-1500

    Type: Mailing

  • CVS Pharmacy, 1002, South Busse Road, Mount Prospect, Elk Grove Township, Cook County, Illinois, 60056, United States

    MT PROSPECT, IL 600564570

    Phone: (847) 871-6291

    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)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (279 days ago).

Enrollment records

1

Earliest due date

2025-08-31

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
O20100930011243OPharmacyIL2025-08-31

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 count2,534255$0
G0008Administration of influenza virus vaccine344344$0
91320Sarscv2 vac 30mcg trs-suc im320320$0
90480Admn sarscov2 vacc 1 dose320320$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage302302$0
View full utilization report →

Insurance plans in this area (ZIP 02895)

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Reviews

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Frequently asked questions

How is CVS PHARMACY # 03110 identified in CMS data?
CMS-hosted NPPES data lists CVS PHARMACY # 03110 with NPI 1740384684.
Does CMS list CVS PHARMACY # 03110 as active?
Yes — CVS PHARMACY # 03110 is active in the NPI listing used on this page.
What healthcare role does CVS PHARMACY # 03110 hold?
Scheduling teams often label CVS PHARMACY # 03110 under Pharmacy. Clinical services aligned with this taxonomy classification.
What address line appears for CVS PHARMACY # 03110?
CVS PHARMACY # 03110's geographic hint is Woonsocket, Rhode Island in our summary view.
Why does CVS PHARMACY # 03110 have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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