Arizona CVS Stores LLC
NPI 1669576559ActiveOrganization· Pharmacy· Goodyear, AZ
Pharmacy in Goodyear, Arizona, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Sr. Director, Payer Relations. Medicare paid $87,347 for services to 362 patients in 2024.
Overview
| NPI | 1669576559 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2006 |
| Last updated in NPPES | Jan 14, 2026 |
| Certified by provider | Jan 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | Y03679 | AZ |
| 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 (AZ); Part B Supplier - Mass Immunization (Roster Biller Only) (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 362 |
|---|---|
| Services billed | 1,158 across 9 procedure codes |
| Paid by Medicare | $87,347 |
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