Arizona CVS Stores LLC
NPI 1669413589ActiveOrganization· Pharmacy· Peoria, AZ
Pharmacy in Peoria, Arizona, registered in NPPES in June 2006. The authorized official on file is Susan F. Colbert, Director Pharmacy Enrollments. Medicare paid $83,260 for services to 315 patients in 2024.
Overview
| NPI | 1669413589 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 10, 2006 |
| Last updated in NPPES | Apr 30, 2019 |
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 | 315 |
|---|---|
| Services billed | 1,058 across 13 procedure codes |
| Paid by Medicare | $83,260 |
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