Georgia CVS Pharmacy LLC
NPI 1841393501ActiveOrganization· Pharmacy· Moultrie, GA
Pharmacy in Moultrie, Georgia, registered in NPPES in September 2006. The authorized official on file is Susan F. Colbert, Exec Dir, Rx Services. Medicare paid $31,030 for services to 134 patients in 2024.
Overview
| NPI | 1841393501 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 7, 2006 |
| Last updated in NPPES | Jan 17, 2023 |
| Certified by provider | Jan 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 005319 | GA |
| 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 (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 134 |
|---|---|
| Services billed | 406 across 10 procedure codes |
| Paid by Medicare | $31,030 |
Other Pharmacy providers in Moultrie
- 1801931555
- 1336664937
- 1457693004