Georgia CVS Pharmacy LLC
NPI 1669554804ActiveOrganization· Pharmacy· Conyers, GA
Pharmacy in Conyers, Georgia, registered in NPPES in October 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $19,534 for services to 76 patients in 2024.
Overview
| NPI | 1669554804 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 19, 2006 |
| Last updated in NPPES | Oct 31, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PHRE010239 | GA |
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 | 76 |
|---|---|
| Services billed | 240 across 10 procedure codes |
| Paid by Medicare | $19,534 |
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