Mississippi CVS Pharmacy, L.L.C.
NPI 1063734291ActiveOrganization· Pharmacy· Pontotoc, MS
Pharmacy in Pontotoc, Mississippi, registered in NPPES in February 2010. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $103,756 for services to 486 patients in 2024.
Overview
| NPI | 1063734291 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 15, 2010 |
| Last updated in NPPES | Jan 18, 2023 |
| Certified by provider | Jan 18, 2023 |
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 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 DME Supplier - Pharmacy (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 486 |
|---|---|
| Services billed | 1,413 across 12 procedure codes |
| Paid by Medicare | $103,756 |