Ohio CVS Stores LLC
NPI 1275631822ActiveOrganization· Pharmacy· Mentor, OH
Pharmacy in Mentor, Ohio, registered in NPPES in September 2006. The authorized official on file is Susan Colbert, Director. Medicare paid $103,378 for services to 396 patients in 2024.
Overview
| NPI | 1275631822 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2006 |
| Last updated in NPPES | Mar 8, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 21068150 | OH |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 396 |
|---|---|
| Services billed | 1,346 across 11 procedure codes |
| Paid by Medicare | $103,378 |
Other pharmacies in Mentor
- 1073295820
- 1306851324
- 1376646083