New Jersey CVS Pharmacy LLC
NPI 1205939022ActiveOrganization· Pharmacy· Trenton, NJ
Pharmacy in Trenton, New Jersey, registered in NPPES in September 2006. The authorized official on file is Susan Colbert, Dir., Managed Care Administration. Medicare paid $55,787 for services to 234 patients in 2024.
Overview
| NPI | 1205939022 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 7, 2006 |
| Last updated in NPPES | Dec 30, 2021 |
| Certified by provider | Dec 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 3877 | NJ |
| 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 (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 234 |
|---|---|
| Services billed | 712 across 12 procedure codes |
| Paid by Medicare | $55,787 |
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