CVS State Capital. L.L.C.
NPI 1376793257ActiveOrganization· Pharmacy· Augusta, ME
Pharmacy in Augusta, Maine, registered in NPPES in September 2008. The authorized official on file is Susan Colbert, Director. Medicare paid $60,037 for services to 232 patients in 2024.
Overview
| NPI | 1376793257 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2008 |
| Last updated in NPPES | Jul 7, 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 (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 232 |
|---|---|
| Services billed | 772 across 12 procedure codes |
| Paid by Medicare | $60,037 |
Other Pharmacy providers in Augusta
- 1972789311
- 1841649639
- 1871019455
- 1982861811
- 1558887950