Mississippi CVS Pharmacy, L.L.C.
NPI 1306946744ActiveOrganization· Pharmacy· Greenville, MS
Pharmacy in Greenville, Mississippi, registered in NPPES in September 2006. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $24,400 for services to 110 patients in 2024.
Overview
| NPI | 1306946744 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 25, 2006 |
| Last updated in NPPES | Jan 17, 2023 |
| Certified by provider | Jan 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 00670/01.2 | MS |
| 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 (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 110 |
|---|---|
| Services billed | 322 across 8 procedure codes |
| Paid by Medicare | $24,400 |
Other Pharmacy providers in Greenville
- 1184199606
- 1205302254
- 1366457525