Kentucky CVS Pharmacy LLC
NPI 1679904270ActiveOrganization· Pharmacy· Elizabethtown, KY
Pharmacy in Elizabethtown, Kentucky, registered in NPPES in December 2013. The authorized official on file is Susan F. Colbert, Director. Medicare paid $86,687 for services to 374 patients in 2024.
Overview
| NPI | 1679904270 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 6, 2013 |
| Last updated in NPPES | Apr 11, 2014 |
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 (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 374 |
|---|---|
| Services billed | 1,163 across 13 procedure codes |
| Paid by Medicare | $86,687 |
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