CVS Pharmacy Inc
NPI 1053461301ActiveOrganization· Pharmacy· Grand Prairie, TX
Pharmacy in Grand Prairie, Texas, registered in NPPES in January 2007. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $15,292 for services to 56 patients in 2024.
Overview
| NPI | 1053461301 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2007 |
| Last updated in NPPES | Jun 12, 2024 |
| Certified by provider | Jun 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 30511 | TX |
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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 56 |
|---|---|
| Services billed | 184 across 9 procedure codes |
| Paid by Medicare | $15,292 |
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