Mississippi CVS Pharmacy LLC
NPI 1356618979ActiveOrganization· Pharmacy· Yazoo City, MS
Pharmacy in Yazoo City, Mississippi, registered in NPPES in November 2011. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $68,950 for services to 257 patients in 2024.
Overview
| NPI | 1356618979 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 28, 2011 |
| Last updated in NPPES | Aug 9, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| 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 | 257 |
|---|---|
| Services billed | 882 across 11 procedure codes |
| Paid by Medicare | $68,950 |
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