Mississippi CVS Pharmacy, L.L.C.
NPI 1154421154ActiveOrganization· Pharmacy· Holly Springs, MS
Pharmacy in Holly Springs, Mississippi, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Sr. Director. Medicare paid $38,720 for services to 156 patients in 2024.
Overview
| NPI | 1154421154 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 22, 2006 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | MS |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | MS |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | MS |
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 | 156 |
|---|---|
| Services billed | 486 across 10 procedure codes |
| Paid by Medicare | $38,720 |
Other Pharmacy providers in Holly Springs
- 1588849145
- 1932104650