Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Idaho Cvs Pharmacy LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1982626891

Idaho Cvs Pharmacy LLC is a Durable Medical Equipment & Medical Supplies in Lewiston, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1904 19th Avenue Lewiston Ctr
Lewiston, ID 83501-4069
Phone: (208) 743-9127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence ID1209CP (ID)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence ID1209CP (ID)

Record details

NPI number1982626891
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Sr. Director, Payer Relations · (401) 765-1500
Other names Cvs Pharmacy #11643; Rite Aid Pharmacy 05408
NPI enumeratedJuly 24, 2006
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address1 Cvs Dr, Woonsocket, RI 02895-6146

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