Pennsylvania CVS Pharmacy, L.L.C
NPI 1093819872ActiveOrganization· Pharmacy· Erie, PA
Pharmacy in Erie, Pennsylvania, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $106,443 for services to 418 patients in 2024.
Overview
| NPI | 1093819872 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2006 |
| Last updated in NPPES | Sep 12, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PP415480L | PA |
| 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 (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 418 |
|---|---|
| Services billed | 1,374 across 11 procedure codes |
| Paid by Medicare | $106,443 |
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