Pennsylvania CVS Pharmacy, L.L.C.
NPI 1376641993ActiveOrganization· Pharmacy· Hawley, PA
Pharmacy in Hawley, Pennsylvania, registered in NPPES in September 2006. The authorized official on file is Susan Colbert, Dir Phcy Enrollments. Medicare paid $124,645 for services to 530 patients in 2024.
Overview
| NPI | 1376641993 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2006 |
| Last updated in NPPES | Dec 5, 2024 |
| Certified by provider | Dec 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PP-414875-L | PA |
| 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 530 |
|---|---|
| Services billed | 1,592 across 11 procedure codes |
| Paid by Medicare | $124,645 |
Other Pharmacy providers in Hawley
- 1609223197
- 1205353166