Kentucky CVS Pharmacy LLC
NPI 1174711493ActiveOrganization· Pharmacy· Owensboro, KY
Pharmacy in Owensboro, Kentucky, registered in NPPES in October 2007. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $74,807 for services to 263 patients in 2024.
Overview
| NPI | 1174711493 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 11, 2007 |
| Last updated in NPPES | Jan 18, 2023 |
| Certified by provider | Jan 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | KY |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | KY |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | KY |
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 (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 263 |
|---|---|
| Services billed | 923 across 12 procedure codes |
| Paid by Medicare | $74,807 |
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