Arkansas CVS Pharmacy LLC
NPI 1134617301ActiveOrganization· Pharmacy· Russellville, AR
Pharmacy in Russellville, Arkansas, registered in NPPES in April 2018. The authorized official on file is Susan F. Colbert, Sr Director, Payer Relations. Medicare paid $105,158 for services to 384 patients in 2024.
Overview
| NPI | 1134617301 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2018 |
| Last updated in NPPES | Jun 20, 2018 |
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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 384 |
|---|---|
| Services billed | 1,331 across 13 procedure codes |
| Paid by Medicare | $105,158 |
Other Pharmacy providers in Russellville
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