Missouri CVS Pharmacy, L.L.C.
NPI 1619219680ActiveOrganization· Pharmacy· Ironton, MO
Pharmacy in Ironton, Missouri, registered in NPPES in March 2013. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $18,906 for services to 95 patients in 2024.
Overview
| NPI | 1619219680 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2013 |
| Last updated in NPPES | Dec 20, 2017 |
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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 95 |
|---|---|
| Services billed | 258 across 9 procedure codes |
| Paid by Medicare | $18,906 |
Other Pharmacy providers in Ironton
- 1578542924
- 1902152929