Ohio Cvs Stores LLC
Ohio Cvs Stores LLC is a healthcare organization registered as Pharmacy in Waverly, OH, holding Type 2 (organization) NPI 1124575865 since 2016. The authorized official on file is Susan Colbert, Sr. Dr, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124575865 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ohio Cvs Stores LLC |
| Practice address | 210 E EMMITT AVE, Waverly, OH, 45690 |
| Phone | 7409472126 |
| Enumeration date | 2016-09-09 |
| Last updated in NPPES | 2017-12-05 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Sr. Dr, Payer Relations |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0191461 | Medicaid | OH | — |
| 3684582 | Other | OH | NCPDP |
Copy-ready billing details
Provider: Ohio Cvs Stores LLC NPI: 1124575865 Taxonomy: 333600000X (Pharmacy) Address: 210 E EMMITT AVE, Waverly, OH, 45690
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1730462292 | Melissa Dunham | Individual | Pharmacist | Waverly, OH |
| 1710729231 | Jade Russell | Individual | Pharmacist | Waverly, OH |
Verify this record
Cross-check NPI 1124575865 against the authoritative CMS record: view Ohio Cvs Stores LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Ohio Cvs Stores LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-12-05.