Ohio CVS Stores LLC
NPI 1104929561ActiveOrganization· Pharmacy· Cleveland, OH
Pharmacy in Cleveland, Ohio, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Exec Dir, Rx Services. Medicare paid $67,921 for services to 270 patients in 2024.
Overview
| NPI | 1104929561 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 7, 2006 |
| Last updated in NPPES | Jan 11, 2023 |
| Certified by provider | Jan 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 2143850 | OH |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 270 |
|---|---|
| Services billed | 872 across 10 procedure codes |
| Paid by Medicare | $67,921 |
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