Georgia CVS Pharmacy LLC
NPI 1780878793ActiveOrganization· Pharmacy· Fayetteville, GA
Pharmacy in Fayetteville, Georgia, registered in NPPES in September 2007. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $25,647 for services to 92 patients in 2024.
Overview
| NPI | 1780878793 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 2, 2007 |
| Last updated in NPPES | Oct 12, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PHRE010208 | GA |
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 (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 92 |
|---|---|
| Services billed | 322 across 11 procedure codes |
| Paid by Medicare | $25,647 |
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