Missouri CVS Pharmacy LLC
NPI 1679906226ActiveOrganization· Pharmacy· Poplar Bluff, MO
Pharmacy in Poplar Bluff, Missouri, registered in NPPES in August 2013. The authorized official on file is Susan Colbert, Director. Medicare paid $48,225 for services to 218 patients in 2024.
Overview
| NPI | 1679906226 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 19, 2013 |
| Last updated in NPPES | Mar 31, 2015 |
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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 218 |
|---|---|
| Services billed | 624 across 9 procedure codes |
| Paid by Medicare | $48,225 |
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