Missouri CVS Pharmacy, L.L.C.
NPI 1629035084ActiveOrganization· Pharmacy· Macon, MO
Pharmacy in Macon, Missouri, registered in NPPES in April 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $37,086 for services to 183 patients in 2024.
Overview
| NPI | 1629035084 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 28, 2006 |
| Last updated in NPPES | Sep 6, 2018 |
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 · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 | 183 |
|---|---|
| Services billed | 502 across 10 procedure codes |
| Paid by Medicare | $37,086 |