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CVS Albany LLC

NPI 1396849154ActiveOrganization· Pharmacy· Staten Island, NY

Pharmacy in Staten Island, New York, registered in NPPES in September 2006. The authorized official on file is Susan Colbert, Mgr Phcy Enrollments. Medicare paid $75,224 for services to 351 patients in 2024.

Overview

NPI1396849154
StatusActive
Entity typeOrganization
NPI issuedSep 12, 2006
Last updated in NPPESAug 13, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X24100NY
Pharmacy, Community/Retail Pharmacy3336C0003X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients351
Services billed996 across 12 procedure codes
Paid by Medicare$75,224

Medicare sources and data years

Other Pharmacy providers in Staten Island

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