Georgia CVS Pharmacy, L.L.C.
NPI 1639355340ActiveOrganization· Pharmacy· McDonough, GA
Pharmacy in McDonough, Georgia, registered in NPPES in January 2008. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $17,375 for services to 77 patients in 2024.
Overview
| NPI | 1639355340 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2008 |
| Last updated in NPPES | Oct 24, 2011 |
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 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 (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 77 |
|---|---|
| Services billed | 234 across 10 procedure codes |
| Paid by Medicare | $17,375 |
Other Pharmacy providers in McDonough
- 1043232838
- 1215010376
- 1457454217
- 1932407095
- 1073796538
- 1952324915
- 1316952526
- 1447774781
- 1700300043
- 1770753329