Oklahoma CVS Pharmacy LLC
NPI 1114021946ActiveOrganization· Pharmacy· Ardmore, OK
Pharmacy in Ardmore, Oklahoma, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $35,327 for services to 148 patients in 2024.
Overview
| NPI | 1114021946 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2006 |
| Last updated in NPPES | Nov 7, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 12-4992 | OK |
| 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 (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 148 |
|---|---|
| Services billed | 454 across 11 procedure codes |
| Paid by Medicare | $35,327 |
Other Pharmacy providers in Ardmore
- 1750527925
- 1699780668