Utah CVS Pharmacy LLC
NPI 1396259321ActiveOrganization· Pharmacy· Salt Lake City, UT
Pharmacy in Salt Lake City, Utah, registered in NPPES in November 2017. The authorized official on file is Susan F. Colbert, Sr. Director Payer Relations. Medicare paid $26,757 for services to 112 patients in 2024.
Overview
| NPI | 1396259321 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 29, 2017 |
| Last updated in NPPES | Jul 20, 2022 |
| Certified by provider | Jul 20, 2022 |
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 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 | 112 |
|---|---|
| Services billed | 346 across 13 procedure codes |
| Paid by Medicare | $26,757 |
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