Arizona CVS Stores, L.L.C.
NPI 1093048761ActiveOrganization· Pharmacy· Fort Mohave, AZ
Pharmacy in Fort Mohave, Arizona, registered in NPPES in September 2009. The authorized official on file is Susan F. Colbert, Director Payer Relations. Medicare paid $66,418 for services to 285 patients in 2024.
Overview
| NPI | 1093048761 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 14, 2009 |
| Last updated in NPPES | Jun 18, 2014 |
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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 285 |
|---|---|
| Services billed | 886 across 12 procedure codes |
| Paid by Medicare | $66,418 |