Oklahoma CVS Pharmacy LLC
NPI 1114347622ActiveOrganization· Pharmacy· Edmond, OK
Pharmacy in Edmond, Oklahoma, registered in NPPES in April 2014. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $102,429 for services to 417 patients in 2024.
Overview
| NPI | 1114347622 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2014 |
| Last updated in NPPES | Oct 24, 2023 |
| Certified by provider | Oct 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | OK |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | OK |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | OK |
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 | 417 |
|---|---|
| Services billed | 1,364 across 12 procedure codes |
| Paid by Medicare | $102,429 |
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