CVS Pharmacy Inc
NPI 1104923507ActiveOrganization· Pharmacy· Conroe, TX
Pharmacy in Conroe, Texas, registered in NPPES in September 2006. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $33,427 for services to 142 patients in 2024.
Overview
| NPI | 1104923507 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2006 |
| Last updated in NPPES | Feb 25, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 24692 | TX |
| 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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 142 |
|---|---|
| Services billed | 422 across 10 procedure codes |
| Paid by Medicare | $33,427 |
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