Pennsylvania CVS Pharmacy, L.L.C.
NPI 1023115516ActiveOrganization· Pharmacy· Philadelphia, PA
Pharmacy in Philadelphia, Pennsylvania, registered in NPPES in September 2006. The authorized official on file is Susan Colbert, Dir Phcy Enrollments. Medicare paid $106,758 for services to 385 patients in 2024.
Overview
| NPI | 1023115516 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2006 |
| Last updated in NPPES | Mar 15, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PP415481L | PA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 | 385 |
|---|---|
| Services billed | 1,288 across 12 procedure codes |
| Paid by Medicare | $106,758 |
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All 178 pharmacies in Philadelphia · All pharmacies in Pennsylvania