Mississippi CVS Pharmacy, L.L.C.
NPI 1861654733ActiveOrganization· Pharmacy· Grenada, MS
Pharmacy in Grenada, Mississippi, registered in NPPES in July 2008. The authorized official on file is Susan F. Colbert, Exec Dir, Rx Services. Medicare paid $69,097 for services to 337 patients in 2024.
Overview
| NPI | 1861654733 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2008 |
| Last updated in NPPES | Jan 17, 2023 |
| Certified by provider | Jan 17, 2023 |
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 (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 337 |
|---|---|
| Services billed | 954 across 12 procedure codes |
| Paid by Medicare | $69,097 |
Other Pharmacy providers in Grenada
- 1760537393
- 1205080975
- 1972764785