Utah CVS Pharmacy LLC
NPI 1649693052ActiveOrganization· Pharmacy· Sandy, UT
Pharmacy in Sandy, Utah, registered in NPPES in January 2014. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $44,757 for services to 175 patients in 2024.
Overview
| NPI | 1649693052 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2014 |
| Last updated in NPPES | Oct 16, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | UT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | UT |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | UT |
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 (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 175 |
|---|---|
| Services billed | 572 across 11 procedure codes |
| Paid by Medicare | $44,757 |
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