Missouri CVS Pharmacy LLC
NPI 1083658454ActiveOrganization· Pharmacy· Independence, MO
Pharmacy in Independence, Missouri, registered in NPPES in June 2006. The authorized official on file is Susan Colbert, Director. Medicare paid $40,628 for services to 164 patients in 2024.
Overview
| NPI | 1083658454 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2006 |
| Last updated in NPPES | Feb 3, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| 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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 164 |
|---|---|
| Services billed | 528 across 11 procedure codes |
| Paid by Medicare | $40,628 |
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