Ohio CVS Stores LLC
NPI 1457454282ActiveOrganization· Pharmacy· Elyria, OH
Pharmacy in Elyria, Ohio, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Exec Dir, Rx Services. Medicare paid $99,508 for services to 398 patients in 2024.
Overview
| NPI | 1457454282 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 7, 2006 |
| Last updated in NPPES | Jan 13, 2023 |
| Certified by provider | Jan 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 2839850 | OH |
| 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 (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 398 |
|---|---|
| Services billed | 1,308 across 10 procedure codes |
| Paid by Medicare | $99,508 |
Other pharmacies in Elyria
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- 1750303467
- 1831104777