Oklahoma CVS Pharmacy LLC
NPI 1073817185ActiveOrganization· Pharmacy· Broken Arrow, OK
Pharmacy in Broken Arrow, Oklahoma, registered in NPPES in January 2011. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $49,750 for services to 211 patients in 2024.
Overview
| NPI | 1073817185 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 4, 2011 |
| Last updated in NPPES | May 17, 2011 |
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 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 (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 211 |
|---|---|
| Services billed | 660 across 11 procedure codes |
| Paid by Medicare | $49,750 |
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