Pennsylvania CVS Pharmacy, L.L.C.
NPI 1295712065ActiveOrganization· Pharmacy· Erie, PA
Pharmacy in Erie, Pennsylvania, registered in NPPES in December 2005. The authorized official on file is Susan F. Colbert, Sr. Director, Payer Relations. Medicare paid $42,286 for services to 160 patients in 2024.
Overview
| NPI | 1295712065 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 22, 2005 |
| Last updated in NPPES | Feb 3, 2020 |
| Certified by provider | Feb 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PP410816L | PA |
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 (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 160 |
|---|---|
| Services billed | 558 across 11 procedure codes |
| Paid by Medicare | $42,286 |
Other Pharmacy providers in Erie
- 1245990084
- 1104099167
- 1588272884
- 1003919846
- 1184646812
- 1215030077
- 1730283516
- 1093819872
- 1598869372
- 1447434964
- 1437332848
- 1053380766