CVS Pharmacy Inc
NPI 1114302122ActiveOrganization· Pharmacy· Montgomery, TX
Pharmacy in Montgomery, Texas, registered in NPPES in July 2015. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $101,879 for services to 452 patients in 2024.
Overview
| NPI | 1114302122 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 21, 2015 |
| Last updated in NPPES | Dec 14, 2015 |
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 · 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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 452 |
|---|---|
| Services billed | 1,360 across 11 procedure codes |
| Paid by Medicare | $101,879 |
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