Missouri CVS Pharmacy LLC
NPI 1205400082ActiveOrganization· Pharmacy· Columbia, MO
Pharmacy in Columbia, Missouri, registered in NPPES in May 2021. The authorized official on file is Susan F. Colbert, Sr Director. Medicare paid $37,568 for services to 149 patients in 2024.
Overview
| NPI | 1205400082 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2021 |
| Last updated in NPPES | May 17, 2021 |
| Certified by provider | Apr 21, 2021 |
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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 149 |
|---|---|
| Services billed | 488 across 10 procedure codes |
| Paid by Medicare | $37,568 |
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