Georgia CVS Pharmacy LLC
NPI 1114135654ActiveOrganization· Pharmacy· Brunswick, GA
Pharmacy in Brunswick, Georgia, registered in NPPES in May 2007. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $34,951 for services to 130 patients in 2024.
Overview
| NPI | 1114135654 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2007 |
| Last updated in NPPES | Oct 12, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PHRE010240 | GA |
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 (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 130 |
|---|---|
| Services billed | 429 across 12 procedure codes |
| Paid by Medicare | $34,951 |
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