Pennsylvania CVS Pharmacy LLC
NPI 1679676423ActiveOrganization· Pharmacy· Altoona, PA
Pharmacy in Altoona, Pennsylvania, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Director. Medicare paid $55,213 for services to 223 patients in 2024.
Overview
| NPI | 1679676423 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 7, 2006 |
| Last updated in NPPES | Aug 3, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PP412905L | PA |
| 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 (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 223 |
|---|---|
| Services billed | 724 across 12 procedure codes |
| Paid by Medicare | $55,213 |
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