CVS Pharmacy, Inc.
NPI 1689862559ActiveOrganization· Pharmacy· League City, TX
Pharmacy in League City, Texas, registered in NPPES in October 2007. The authorized official on file is Cristiana Mauricio, Mgr. Pharmacy Enrollments. Medicare paid $76,956 for services to 290 patients in 2024.
Overview
| NPI | 1689862559 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2007 |
| Last updated in NPPES | Feb 19, 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 · 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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 290 |
|---|---|
| Services billed | 972 across 10 procedure codes |
| Paid by Medicare | $76,956 |
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