Oklahoma CVS Pharmacy LLC
NPI 1417460577ActiveOrganization· Pharmacy· Oklahoma City, OK
Pharmacy in Oklahoma City, Oklahoma, registered in NPPES in November 2017. The authorized official on file is Susan F. Colbert, Sr. Director, Payer Relations. Medicare paid $79,014 for services to 337 patients in 2024.
Overview
| NPI | 1417460577 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2017 |
| Last updated in NPPES | Dec 19, 2017 |
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 (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 337 |
|---|---|
| Services billed | 1,062 across 10 procedure codes |
| Paid by Medicare | $79,014 |
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All 61 pharmacies in Oklahoma City · All pharmacies in Oklahoma