CVS Pharmacy Inc
NPI 1114026564ActiveOrganization· Pharmacy· Gloucester, MA
Pharmacy in Gloucester, Massachusetts, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $275,832 for services to 1,055 patients in 2024.
Overview
| NPI | 1114026564 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2006 |
| Last updated in NPPES | Jun 16, 2020 |
| Certified by provider | Jun 16, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| 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 | 1,055 |
|---|---|
| Services billed | 3,434 across 11 procedure codes |
| Paid by Medicare | $275,832 |
Other Pharmacy providers in Gloucester
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- 1790200038
- 1083629281