Arizona CVS Stores, L.L.C.
NPI 1649409145ActiveOrganization· Pharmacy· Kingman, AZ
Pharmacy in Kingman, Arizona, registered in NPPES in July 2009. The authorized official on file is Susan Colbert, Director Payer Relations. Medicare paid $120,088 for services to 473 patients in 2024.
Overview
| NPI | 1649409145 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 7, 2009 |
| Last updated in NPPES | Dec 20, 2022 |
| Certified by provider | Dec 20, 2022 |
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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 473 |
|---|---|
| Services billed | 1,558 across 12 procedure codes |
| Paid by Medicare | $120,088 |
Other Pharmacy providers in Kingman
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