Tennessee CVS Pharmacy LLC
NPI 1689256836ActiveOrganization· Pharmacy· Knoxville, TN
Pharmacy in Knoxville, Tennessee, registered in NPPES in April 2021. The authorized official on file is Susan F. Colbert, Sr. Director. Medicare paid $22,123 for services to 71 patients in 2024.
Overview
| NPI | 1689256836 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 27, 2021 |
| Last updated in NPPES | Sep 22, 2021 |
| Certified by provider | Sep 22, 2021 |
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 · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 71 |
|---|---|
| Services billed | 274 across 9 procedure codes |
| Paid by Medicare | $22,123 |
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