CVS State Capital LLC
NPI 1003004938ActiveOrganization· Pharmacy· Lewiston, ME
Pharmacy in Lewiston, Maine, registered in NPPES in October 2007. The authorized official on file is Susan Colbert, Sr. Director. Medicare paid $82,590 for services to 298 patients in 2024.
Overview
| NPI | 1003004938 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2007 |
| Last updated in NPPES | Nov 15, 2025 |
| Certified by provider | Nov 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 298 |
|---|---|
| Services billed | 1,036 across 13 procedure codes |
| Paid by Medicare | $82,590 |
Other Pharmacy providers in Lewiston
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