Georgia CVS Pharmacy, L.L.C.
NPI 1205012085ActiveOrganization· Pharmacy· Loganville, GA
Pharmacy in Loganville, Georgia, registered in NPPES in January 2008. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $52,012 for services to 185 patients in 2024.
Overview
| NPI | 1205012085 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2008 |
| Last updated in NPPES | Jul 9, 2010 |
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 (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 185 |
|---|---|
| Services billed | 632 across 12 procedure codes |
| Paid by Medicare | $52,012 |
Other Pharmacy providers in Loganville
- 1407754039
- 1245333079
- 1245255546