South Carolina CVS Pharmacy LLC
NPI 1043509045ActiveOrganization· Pharmacy· Lexington, SC
Pharmacy in Lexington, South Carolina, registered in NPPES in March 2011. The authorized official on file is Susan F. Colbert, Director Payer Relations. Medicare paid $120,197 for services to 552 patients in 2024.
Overview
| NPI | 1043509045 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 31, 2011 |
| Last updated in NPPES | Feb 29, 2012 |
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 (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 552 |
|---|---|
| Services billed | 1,614 across 12 procedure codes |
| Paid by Medicare | $120,197 |
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