Oregon CVS Pharmacy LLC
NPI 1205423704ActiveOrganization· Pharmacy· Portland, OR
Pharmacy in Portland, Oregon, registered in NPPES in December 2020. The authorized official on file is Susan Colbert, Sr Director, Payer Relations. Medicare paid $75,694 for services to 275 patients in 2024.
Overview
| NPI | 1205423704 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 30, 2020 |
| Last updated in NPPES | Mar 3, 2021 |
| Certified by provider | Mar 3, 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 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 (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 275 |
|---|---|
| Services billed | 922 across 12 procedure codes |
| Paid by Medicare | $75,694 |
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