Utah CVS Pharmacy, L.L.C.
NPI 1124475108ActiveOrganization· Pharmacy· West Valley City, UT
Pharmacy in West Valley City, Utah, registered in NPPES in May 2016. The authorized official on file is Susan Colbert, Sr. Director-Payer Relations. Medicare paid $34,417 for services to 129 patients in 2024.
Overview
| NPI | 1124475108 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2016 |
| Last updated in NPPES | Apr 3, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | UT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | UT |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | UT |
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 (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 129 |
|---|---|
| Services billed | 452 across 9 procedure codes |
| Paid by Medicare | $34,417 |
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