CVS Pharmacy Inc
NPI 1104925569ActiveOrganization· Pharmacy· Boston, MA
Pharmacy in Boston, Massachusetts, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Sr Director, Payer Relations. Medicare paid $128,892 for services to 473 patients in 2024.
Overview
| NPI | 1104925569 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2006 |
| Last updated in NPPES | Oct 19, 2023 |
| Certified by provider | Oct 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 2636 | MA |
| 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 (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 473 |
|---|---|
| Services billed | 1,610 across 12 procedure codes |
| Paid by Medicare | $128,892 |
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