Mississippi CVS Pharmacy, L.L.C.
NPI 1184853970ActiveOrganization· Pharmacy· Tupelo, MS
Pharmacy in Tupelo, Mississippi, registered in NPPES in July 2009. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $72,901 for services to 339 patients in 2024.
Overview
| NPI | 1184853970 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2009 |
| Last updated in NPPES | Jan 19, 2023 |
| Certified by provider | Jan 19, 2023 |
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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 339 |
|---|---|
| Services billed | 982 across 11 procedure codes |
| Paid by Medicare | $72,901 |
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