Pennsylvania CVS Pharmacy, LLC
NPI 1407203995ActiveOrganization· Pharmacy· Allentown, PA
Pharmacy in Allentown, Pennsylvania, registered in NPPES in May 2016. The authorized official on file is Susan Colbert, Sr Director Payer Relations. Medicare paid $55,586 for services to 235 patients in 2024.
Overview
| NPI | 1407203995 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 16, 2016 |
| Last updated in NPPES | Oct 19, 2016 |
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 · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 235 |
|---|---|
| Services billed | 722 across 12 procedure codes |
| Paid by Medicare | $55,586 |
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All 28 pharmacies in Allentown · All pharmacies in Pennsylvania