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North Carolina CVS Pharmacy, L.L.C.

NPI 1629172390ActiveOrganization· Pharmacy· Clayton, NC

Pharmacy in Clayton, North Carolina, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Director, Managed Care Admin. Medicare paid $76,456 for services to 297 patients in 2024.

Overview

NPI1629172390
StatusActive
Entity typeOrganization
NPI issuedSep 12, 2006
Last updated in NPPESMay 20, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X7623NC
Pharmacy, Community/Retail Pharmacy3336C0003X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (NC)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients297
Services billed966 across 13 procedure codes
Paid by Medicare$76,456

Medicare sources and data years

Other pharmacies in Clayton

All pharmacies in North Carolina