CVS Pharmacy, Inc.
NPI 1760623227ActiveOrganization· Pharmacy· Grand Prairie, TX
Pharmacy in Grand Prairie, Texas, registered in NPPES in March 2009. The authorized official on file is Cristiana Mauricio, Manager, Pharmacy Enrollments. Medicare paid $32,059 for services to 120 patients in 2024.
Overview
| NPI | 1760623227 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2009 |
| Last updated in NPPES | Mar 11, 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 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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 120 |
|---|---|
| Services billed | 402 across 10 procedure codes |
| Paid by Medicare | $32,059 |
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