South Carolina CVS Pharmacy LLC
NPI 1316155823ActiveOrganization· Pharmacy· Lexington, SC
Pharmacy in Lexington, South Carolina, registered in NPPES in May 2007. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $28,494 for services to 128 patients in 2024.
Overview
| NPI | 1316155823 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2007 |
| Last updated in NPPES | Dec 5, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 5009504 | SC |
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 (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 128 |
|---|---|
| Services billed | 394 across 10 procedure codes |
| Paid by Medicare | $28,494 |
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