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CVS Pharmacy Inc

NPI 1376647180ActiveOrganization· Pharmacy· Bryan, TX

Pharmacy in Bryan, Texas, registered in NPPES in September 2006. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $66,612 for services to 270 patients in 2024.

Overview

NPI1376647180
StatusActive
Entity typeOrganization
NPI issuedSep 12, 2006
Last updated in NPPESFeb 23, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X24896TX
Pharmacy, Community/Retail Pharmacy3336C0003X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (TX)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients270
Services billed866 across 12 procedure codes
Paid by Medicare$66,612

Medicare sources and data years

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