North Carolina CVS Pharmacy LLC
NPI 1639312200ActiveOrganization· Pharmacy· Waxhaw, NC
Pharmacy in Waxhaw, North Carolina, registered in NPPES in April 2009. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $59,036 for services to 239 patients in 2024.
Overview
| NPI | 1639312200 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 13, 2009 |
| Last updated in NPPES | May 15, 2013 |
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 (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 239 |
|---|---|
| Services billed | 764 across 12 procedure codes |
| Paid by Medicare | $59,036 |
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