Pennsylvania CVS Pharmacy LLC
NPI 1578950341ActiveOrganization· Pharmacy· Johnstown, PA
Pharmacy in Johnstown, Pennsylvania, registered in NPPES in April 2015. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $58,238 for services to 277 patients in 2024.
Overview
| NPI | 1578950341 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2015 |
| Last updated in NPPES | Aug 31, 2015 |
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 · 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 (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 277 |
|---|---|
| Services billed | 682 across 11 procedure codes |
| Paid by Medicare | $58,238 |
Other Pharmacy providers in Johnstown
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- 1003304379
- 1467835546