Connecticut CVS Pharmacy LLC
NPI 1508091315ActiveOrganization· Pharmacy· Lisbon, CT
Pharmacy in Lisbon, Connecticut, registered in NPPES in May 2009. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $36,156 for services to 141 patients in 2024.
Overview
| NPI | 1508091315 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 22, 2009 |
| Last updated in NPPES | Oct 5, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PCY.0002143 | CT |
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 (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 141 |
|---|---|
| Services billed | 460 across 10 procedure codes |
| Paid by Medicare | $36,156 |