Arizona CVS Stores LLC
NPI 1376648105ActiveOrganization· Pharmacy· Gilbert, AZ
Pharmacy in Gilbert, Arizona, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Sr. Director, Payer Relations. Medicare paid $61,009 for services to 232 patients in 2024.
Overview
| NPI | 1376648105 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 14, 2006 |
| Last updated in NPPES | Jan 14, 2026 |
| Certified by provider | Jan 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | Y3641 | AZ |
| 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 Part B Supplier - Mass Immunization (Roster Biller Only) (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 232 |
|---|---|
| Services billed | 786 across 10 procedure codes |
| Paid by Medicare | $61,009 |
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