Pennsylvania CVS Pharmacy LLC
NPI 1003919846ActiveOrganization· Pharmacy· Erie, PA
Pharmacy in Erie, Pennsylvania, registered in NPPES in September 2006. The authorized official on file is Susan Colbert, Director,payer Relations. Medicare paid $18,805 for services to 78 patients in 2024.
Overview
| NPI | 1003919846 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 7, 2006 |
| Last updated in NPPES | Aug 26, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PP412885L | PA |
| 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 78 |
|---|---|
| Services billed | 250 across 10 procedure codes |
| Paid by Medicare | $18,805 |
Other Pharmacy providers in Erie
- 1245990084
- 1104099167
- 1588272884
- 1184646812
- 1215030077
- 1730283516
- 1093819872
- 1295712065
- 1598869372
- 1447434964
- 1437332848
- 1053380766