Oklahoma CVS Pharmacy LLC
NPI 1679804934ActiveOrganization· Pharmacy· Broken Arrow, OK
Pharmacy in Broken Arrow, Oklahoma, registered in NPPES in January 2010. The authorized official on file is Susan F. Colbert, Director, Managed Care Admin. Medicare paid $99,853 for services to 392 patients in 2024.
Overview
| NPI | 1679804934 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 26, 2010 |
| Last updated in NPPES | Oct 31, 2013 |
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 (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 392 |
|---|---|
| Services billed | 1,280 across 12 procedure codes |
| Paid by Medicare | $99,853 |
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