Mississippi CVS Pharmacy LLC
NPI 1740682210ActiveOrganization· Pharmacy· Vicksburg, MS
Pharmacy in Vicksburg, Mississippi, registered in NPPES in September 2014. The authorized official on file is Susan F. Colbert, Director. Medicare paid $63,440 for services to 302 patients in 2024.
Overview
| NPI | 1740682210 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2014 |
| Last updated in NPPES | Apr 6, 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 · 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 (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 302 |
|---|---|
| Services billed | 846 across 10 procedure codes |
| Paid by Medicare | $63,440 |
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