Utah CVS Pharmacy, LLC
NPI 1396129425ActiveOrganization· Pharmacy· Sandy, UT
Pharmacy in Sandy, Utah, registered in NPPES in July 2015. The authorized official on file is Susan Colbert, Sr. Director-Payer Relations. Medicare paid $55,073 for services to 210 patients in 2024.
Overview
| NPI | 1396129425 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2015 |
| Last updated in NPPES | Jan 13, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | UT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | UT |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | UT |
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 (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 210 |
|---|---|
| Services billed | 716 across 11 procedure codes |
| Paid by Medicare | $55,073 |
Other Pharmacy providers in Sandy
- 1649693052
- 1992727671
- 1023023066
- 1518480540
- 1750396792