Carthage Pharmacy Services Inc
NPI 1063513398ActiveOrganization· Pharmacy· Mount Vernon, MO
Pharmacy in Mount Vernon, Missouri, registered in NPPES in September 2006. The authorized official on file is Charles Davin Vaughn, RPH, President/Owner. Medicare paid $4,673 for services to 18 patients in 2024.
Overview
| NPI | 1063513398 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2006 |
| Last updated in NPPES | Nov 14, 2022 |
| Certified by provider | Nov 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 2004011847 | MO |
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) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 36 across 6 procedure codes |
| Paid by Medicare | $4,673 |
Other Pharmacy providers in Mount Vernon
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