Idaho CVS Pharmacy LLC
NPI 1265912901ActiveOrganization· Pharmacy· Boise, ID
Pharmacy in Boise, Idaho, registered in NPPES in August 2018. The authorized official on file is Susan Colbert, Sr Director. Medicare paid $49,774 for services to 196 patients in 2024.
Overview
| NPI | 1265912901 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 21, 2018 |
| Last updated in NPPES | Oct 30, 2018 |
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 (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 196 |
|---|---|
| Services billed | 652 across 13 procedure codes |
| Paid by Medicare | $49,774 |
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