Mississippi CVS Pharmacy, L.L.C.
NPI 1144468802ActiveOrganization· Pharmacy· Jackson, MS
Pharmacy in Jackson, Mississippi, registered in NPPES in February 2009. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $39,814 for services to 152 patients in 2024.
Overview
| NPI | 1144468802 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 3, 2009 |
| Last updated in NPPES | Jan 26, 2011 |
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 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 (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 152 |
|---|---|
| Services billed | 508 across 10 procedure codes |
| Paid by Medicare | $39,814 |
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