Kentucky CVS Pharmacy LLC
NPI 1184274912ActiveOrganization· Pharmacy· Louisville, KY
Pharmacy in Louisville, Kentucky, registered in NPPES in September 2019. The authorized official on file is Susan F. Colbert, Sr Director. Medicare paid $42,680 for services to 176 patients in 2024.
Overview
| NPI | 1184274912 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 13, 2019 |
| Last updated in NPPES | Sep 13, 2019 |
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 (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 176 |
|---|---|
| Services billed | 546 across 11 procedure codes |
| Paid by Medicare | $42,680 |
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