Missouri CVS Pharmacy, L.L.C.
NPI 1376863480ActiveOrganization· Pharmacy· Springfield, MO
Pharmacy in Springfield, Missouri, registered in NPPES in June 2010. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $125,275 for services to 494 patients in 2024.
Overview
| NPI | 1376863480 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 11, 2010 |
| Last updated in NPPES | Feb 3, 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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 494 |
|---|---|
| Services billed | 1,615 across 12 procedure codes |
| Paid by Medicare | $125,275 |
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