Arizona CVS Stores LLC
NPI 1780620831ActiveOrganization· Pharmacy· Mesa, AZ
Pharmacy in Mesa, Arizona, registered in NPPES in June 2006. The authorized official on file is Susan F. Colbert, Director Pharmacy Enrollments. Medicare paid $63,787 for services to 236 patients in 2024.
Overview
| NPI | 1780620831 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2006 |
| Last updated in NPPES | Dec 23, 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 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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 236 |
|---|---|
| Services billed | 804 across 10 procedure codes |
| Paid by Medicare | $63,787 |
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