Utah CVS Pharmacy, L.L.C.
NPI 1366819963ActiveOrganization· Pharmacy· West Jordan, UT
Pharmacy in West Jordan, Utah, registered in NPPES in August 2015. The authorized official on file is Susan Colbert, Sr. Director-Payer Relations. Medicare paid $38,312 for services to 148 patients in 2024.
Overview
| NPI | 1366819963 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2015 |
| Last updated in NPPES | Dec 17, 2015 |
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 (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 148 |
|---|---|
| Services billed | 502 across 9 procedure codes |
| Paid by Medicare | $38,312 |
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