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CVS Pharmacy Inc

NPI 1710084215ActiveOrganization· Pharmacy· Dallas, TX

Pharmacy in Dallas, Texas, registered in NPPES in September 2006. The authorized official on file is Cristiana Mauricio, Mgr Phcy Enrollments. Medicare paid $73,500 for services to 271 patients in 2024.

Overview

NPI1710084215
StatusActive
Entity typeOrganization
NPI issuedSep 20, 2006
Last updated in NPPESMar 6, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X24716TX
Pharmacy, Community/Retail Pharmacy3336C0003X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (TX)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients271
Services billed904 across 13 procedure codes
Paid by Medicare$73,500

Medicare sources and data years

Other pharmacies in Dallas

All 134 pharmacies in Dallas · All pharmacies in Texas