Missouri CVS Pharmacy LLC
NPI 1174567549ActiveOrganization· Pharmacy· Blue Springs, MO
Pharmacy in Blue Springs, Missouri, registered in NPPES in June 2006. The authorized official on file is Susan Colbert, Director. Medicare paid $71,915 for services to 299 patients in 2024.
Overview
| NPI | 1174567549 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2006 |
| Last updated in NPPES | Dec 30, 2021 |
| Certified by provider | Dec 30, 2021 |
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 · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 299 |
|---|---|
| Services billed | 946 across 13 procedure codes |
| Paid by Medicare | $71,915 |
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