Mississippi CVS Pharmacy LLC
NPI 1710314463ActiveOrganization· Pharmacy· Hattiesburg, MS
Pharmacy in Hattiesburg, Mississippi, registered in NPPES in September 2013. The authorized official on file is Susan F. Colbert, Director. Medicare paid $58,782 for services to 263 patients in 2024.
Overview
| NPI | 1710314463 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2013 |
| Last updated in NPPES | Jul 7, 2014 |
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 (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 263 |
|---|---|
| Services billed | 782 across 12 procedure codes |
| Paid by Medicare | $58,782 |
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