Mississippi CVS Pharmacy, L.L.C.
NPI 1093046500ActiveOrganization· Pharmacy· Olive Branch, MS
Pharmacy in Olive Branch, Mississippi, registered in NPPES in January 2010. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $53,044 for services to 248 patients in 2024.
Overview
| NPI | 1093046500 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2010 |
| Last updated in NPPES | Mar 1, 2012 |
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 (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 248 |
|---|---|
| Services billed | 720 across 10 procedure codes |
| Paid by Medicare | $53,044 |
Other Pharmacy providers in Olive Branch
- 1528229614
- 1558568741
- 1821003088