Georgia CVS Pharmacy, L.L.C.
NPI 1174627004ActiveOrganization· Pharmacy· Lawrenceville, GA
Pharmacy in Lawrenceville, Georgia, registered in NPPES in September 2006. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $41,190 for services to 162 patients in 2024.
Overview
| NPI | 1174627004 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2006 |
| Last updated in NPPES | Oct 29, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 8560 | GA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | GA |
| 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 (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 162 |
|---|---|
| Services billed | 504 across 9 procedure codes |
| Paid by Medicare | $41,190 |
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All 19 pharmacies in Lawrenceville · All pharmacies in Georgia