Tennessee CVS Pharmacy, L.L.C.
NPI 1053414763ActiveOrganization· Pharmacy· Hermitage, TN
Pharmacy in Hermitage, Tennessee, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $64,903 for services to 254 patients in 2024.
Overview
| NPI | 1053414763 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 7, 2006 |
| Last updated in NPPES | Feb 14, 2024 |
| Certified by provider | Feb 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 478 | TN |
| 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 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 254 |
|---|---|
| Services billed | 836 across 13 procedure codes |
| Paid by Medicare | $64,903 |
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