Oregon CVS Pharmacy LLC
NPI 1619125614ActiveOrganization· Pharmacy· Clackamas, OR
Pharmacy in Clackamas, Oregon, registered in NPPES in September 2008. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $34,490 for services to 138 patients in 2024.
Overview
| NPI | 1619125614 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 3, 2008 |
| Last updated in NPPES | Nov 30, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | RP-0002499 | OR |
| 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 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 (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 138 |
|---|---|
| Services billed | 436 across 12 procedure codes |
| Paid by Medicare | $34,490 |
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