Georgia CVS Pharmacy L.L.C
NPI 1578009130ActiveOrganization· Pharmacy· Pooler, GA
Pharmacy in Pooler, Georgia, registered in NPPES in January 2017. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $82,422 for services to 334 patients in 2024.
Overview
| NPI | 1578009130 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 6, 2017 |
| Last updated in NPPES | May 3, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | GA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | GA |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | GA |
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 (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 334 |
|---|---|
| Services billed | 1,044 across 10 procedure codes |
| Paid by Medicare | $82,422 |
Other Pharmacy providers in Pooler
- 1588188114