Arizona CVS Stores, L.L.C.
NPI 1013142074ActiveOrganization· Pharmacy· Prescott Valley, AZ
Pharmacy in Prescott Valley, Arizona, registered in NPPES in May 2009. The authorized official on file is Susan F. Colbert, Director, Managed Care Admin. Medicare paid $215,323 for services to 892 patients in 2024.
Overview
| NPI | 1013142074 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 20, 2009 |
| Last updated in NPPES | Aug 23, 2010 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 892 |
|---|---|
| Services billed | 2,858 across 13 procedure codes |
| Paid by Medicare | $215,323 |
Other Pharmacy providers in Prescott Valley
- 1396170106
- 1699780957