CMS-1500 Box 24J / 33a • NPI
1215036678
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
333600000X (CMS 58)
Licensed & Credentialed Suppliers — Pharmacy
Box 32 Service Location & ZIP+4
792 MAIN ST, CLINTON, MA, 01510-1717
✓ 9-Digit EDI 837 ZIP+4 (01510-1717)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1215036678 (CVS PHARMACY INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1215036678)
Medicare Beneficiaries
406
Total Billed Services
1,356
Distinct CPT/HCPCS Codes
12
Medicare Allowed Total
$108,057.61
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
90480 | Admn sarscov2 vacc 1 dose | 345 |
90653 | Influenza vaccine, inactivated | 62 |
90661 | Influenza vaccine, trivalent derived from cell cultures | 12 |
90662 | Influenza vaccine split virus, preservative free | 223 |
90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 23 |
91322 | Sarscov2 vac 50 mcg/0.5ml im | 341 |
G0008 | Administration of influenza virus vaccine | 310 |
G0009 | Administration of pneumococcal vaccine | 23 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1215036678 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | CVS PHARMACY INC |
| Plain-English Specialty | Licensed & Credentialed Suppliers — Pharmacy NUCC Code: 333600000X (Pharmacy) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 792 MAIN ST, CLINTON, MA, 01510-1717 |
| Practice Telephone / Fax | Tel: (978) 368-7631 |
| Administrative Mailing Address | 1 CVS DR, WOONSOCKET, RI, 02895-6146 |
| Enumeration & Last Sync | Enumerated: 2006-09-22 | CMS Record Updated: 2011-10-19 |
| Authorized Official | SUSAN COLBERT (Director, Payer Relations) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in CLINTON
🔒 Are you CVS PHARMACY INC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (333600000X)
What Does Taxonomy Code 333600000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 333600000X translates to:
"Licensed & Credentialed Suppliers — Pharmacy"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CVS PHARMACY INC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
332B00000X — Durable Medical Equipment & Medical SuppliesPlain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies | State: N/A | License: Verified | Primary: Secondary |
3336C0003X — Pharmacy, Community/Retail PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy | State: N/A | License: Verified | Primary: Secondary |
333600000X — PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy | State: MA | License: 1636 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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