North Carolina CVS Pharmacy LLC
NPI 1639456502ActiveOrganization· Pharmacy· Fayetteville, NC
Pharmacy in Fayetteville, North Carolina, registered in NPPES in November 2011. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $43,020 for services to 185 patients in 2024.
Overview
| NPI | 1639456502 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 7, 2011 |
| Last updated in NPPES | Nov 13, 2012 |
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 (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 185 |
|---|---|
| Services billed | 574 across 9 procedure codes |
| Paid by Medicare | $43,020 |
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