Mississippi CVS Pharmacy LLC
NPI 1528229614ActiveOrganization· Pharmacy· Olive Branch, MS
Pharmacy in Olive Branch, Mississippi, registered in NPPES in June 2008. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $33,853 for services to 133 patients in 2024.
Overview
| NPI | 1528229614 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2008 |
| Last updated in NPPES | Nov 4, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 07763/1.2 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 133 |
|---|---|
| Services billed | 426 across 9 procedure codes |
| Paid by Medicare | $33,853 |
Other Pharmacy providers in Olive Branch
- 1093046500
- 1558568741
- 1821003088