Kentucky CVS Pharmacy, L.L.C.
NPI 1053415901ActiveOrganization· Pharmacy· Paducah, KY
Pharmacy in Paducah, Kentucky, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Director. Medicare paid $86,788 for services to 361 patients in 2024.
Overview
| NPI | 1053415901 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2006 |
| Last updated in NPPES | Apr 19, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PO6466 | KY |
| 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 (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 361 |
|---|---|
| Services billed | 1,138 across 10 procedure codes |
| Paid by Medicare | $86,788 |
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