CVS Pharmacy Inc
NPI 1073874301ActiveOrganization· Pharmacy· Mattapan, MA
Pharmacy in Mattapan, Massachusetts, registered in NPPES in June 2012. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $21,556 for services to 92 patients in 2024.
Overview
| NPI | 1073874301 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 4, 2012 |
| Last updated in NPPES | Feb 21, 2013 |
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 (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 92 |
|---|---|
| Services billed | 276 across 9 procedure codes |
| Paid by Medicare | $21,556 |
Other Pharmacy providers in Mattapan
- 1417473828