Mississippi CVS Pharmacy LLC
NPI 1174798417ActiveOrganization· Pharmacy· Walls, MS
Pharmacy in Walls, Mississippi, registered in NPPES in April 2008. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $21,771 for services to 96 patients in 2024.
Overview
| NPI | 1174798417 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 28, 2008 |
| Last updated in NPPES | Oct 25, 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 | 96 |
|---|---|
| Services billed | 276 across 10 procedure codes |
| Paid by Medicare | $21,771 |