Arizona CVS Stores, L.L.C.
NPI 1790004133ActiveOrganization· Pharmacy· Phoenix, AZ
Pharmacy in Phoenix, Arizona, registered in NPPES in May 2010. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $6,709 for services to 26 patients in 2024.
Overview
| NPI | 1790004133 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 25, 2010 |
| Last updated in NPPES | Dec 8, 2010 |
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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 88 across 8 procedure codes |
| Paid by Medicare | $6,709 |
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