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CVS Pharmacy Inc

NPI 1194288290ActiveOrganization· Pharmacy· La Porte, TX

Pharmacy in La Porte, Texas, registered in NPPES in April 2019. The authorized official on file is Susan F. Colbert, Sr. Director. Medicare paid $37,760 for services to 117 patients in 2024.

Overview

NPI1194288290
StatusActive
Entity typeOrganization
NPI issuedApr 8, 2019
Last updated in NPPESJun 6, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X——
Pharmacy, Community/Retail Pharmacy3336C0003X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (TX)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients117
Services billed438 across 12 procedure codes
Paid by Medicare$37,760

Medicare sources and data years

Other pharmacies in La Porte

All pharmacies in Texas