Kentucky CVS Pharmacy, L.L.C.
NPI 1104929850ActiveOrganization· Pharmacy· Lexington, KY
Pharmacy in Lexington, Kentucky, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Director. Medicare paid $25,526 for services to 99 patients in 2024.
Overview
| NPI | 1104929850 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 7, 2006 |
| Last updated in NPPES | Mar 27, 2020 |
| Certified by provider | Mar 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | P06042 | KY |
| 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 (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 99 |
|---|---|
| Services billed | 326 across 9 procedure codes |
| Paid by Medicare | $25,526 |
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