CVS Pharmacy Inc.
NPI 1417979162ActiveOrganization· Pharmacy· Sioux Falls, SD
Pharmacy in Sioux Falls, South Dakota, registered in NPPES in July 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $53,180 for services to 214 patients in 2024.
Overview
| NPI | 1417979162 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2006 |
| Last updated in NPPES | Nov 25, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 100-2035 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (SD); Part B Supplier - Mass Immunization (Roster Biller Only) (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 214 |
|---|---|
| Services billed | 718 across 12 procedure codes |
| Paid by Medicare | $53,180 |
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