Kentucky CVS Pharmacy LLC
NPI 1508206434ActiveOrganization· Pharmacy· Liberty, KY
Pharmacy in Liberty, Kentucky, registered in NPPES in June 2013. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $16,142 for services to 82 patients in 2024.
Overview
| NPI | 1508206434 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2013 |
| Last updated in NPPES | Mar 20, 2014 |
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 (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 82 |
|---|---|
| Services billed | 227 across 9 procedure codes |
| Paid by Medicare | $16,142 |
Other pharmacies in Liberty
- 1174046692