Mississippi CVS Pharmacy LLC
NPI 1366735185ActiveOrganization· Pharmacy· Hattiesburg, MS
Pharmacy in Hattiesburg, Mississippi, registered in NPPES in May 2011. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $32,879 for services to 130 patients in 2024.
Overview
| NPI | 1366735185 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2011 |
| Last updated in NPPES | Dec 22, 2011 |
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 | 130 |
|---|---|
| Services billed | 412 across 10 procedure codes |
| Paid by Medicare | $32,879 |
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