Utah CVS Pharmacy LLC
NPI 1689182693ActiveOrganization· Pharmacy· Salt Lake City, UT
Pharmacy in Salt Lake City, Utah, registered in NPPES in January 2018. The authorized official on file is Susan F. Colbert, Sr Director Payer Relations. Medicare paid $134,686 for services to 493 patients in 2024.
Overview
| NPI | 1689182693 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2018 |
| Last updated in NPPES | Jan 12, 2018 |
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 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 (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 493 |
|---|---|
| Services billed | 1,722 across 11 procedure codes |
| Paid by Medicare | $134,686 |
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