Mississippi CVS Pharmacy LLC
NPI 1760404453ActiveOrganization· Pharmacy· Hattiesburg, MS
Pharmacy in Hattiesburg, Mississippi, registered in NPPES in July 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $28,884 for services to 131 patients in 2024.
Overview
| NPI | 1760404453 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2006 |
| Last updated in NPPES | Nov 4, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 06754/1.2 | MS |
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); Part B Supplier - Mass Immunization (Roster Biller Only) (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 131 |
|---|---|
| Services billed | 372 across 10 procedure codes |
| Paid by Medicare | $28,884 |
Other Pharmacy providers in Hattiesburg
- 1255999835
- 1265249643
- 1366735185
- 1710314463
- 1508965815
- 1467369132
- 1942902796
- 1255854261
- 1558376715
- 1659386811