Utah CVS Pharmacy LLC
NPI 1184058810ActiveOrganization· Pharmacy· Provo, UT
Pharmacy in Provo, Utah, registered in NPPES in August 2013. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $36,334 for services to 148 patients in 2024.
Overview
| NPI | 1184058810 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 29, 2013 |
| Last updated in NPPES | Apr 3, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | UT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | UT |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | UT |
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 (UT); Part B Supplier - Mass Immunization (Roster Biller Only) (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 148 |
|---|---|
| Services billed | 474 across 12 procedure codes |
| Paid by Medicare | $36,334 |
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