Idaho CVS Pharmacy LLC
NPI 1336249648ActiveOrganization· Pharmacy· Nampa, ID
Pharmacy in Nampa, Idaho, registered in NPPES in September 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $11,984 for services to 53 patients in 2024.
Overview
| NPI | 1336249648 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 25, 2006 |
| Last updated in NPPES | Nov 21, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 41103RP | ID |
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 | 53 |
|---|---|
| Services billed | 158 across 10 procedure codes |
| Paid by Medicare | $11,984 |
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