Georgia CVS Pharmacy LLC
NPI 1245333079ActiveOrganization· Pharmacy· Loganville, GA
Pharmacy in Loganville, Georgia, registered in NPPES in September 2006. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $49,596 for services to 209 patients in 2024.
Overview
| NPI | 1245333079 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 7, 2006 |
| Last updated in NPPES | Oct 24, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 006949 | GA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | GA |
| 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 | 209 |
|---|---|
| Services billed | 641 across 13 procedure codes |
| Paid by Medicare | $49,596 |
Other Pharmacy providers in Loganville
- 1407754039
- 1205012085
- 1245255546