Kentucky CVS Pharmacy, LLC
NPI 1861740615ActiveOrganization· Pharmacy· Benton, KY
Pharmacy in Benton, Kentucky, registered in NPPES in August 2012. The authorized official on file is Susan F. Colbert, Director. Medicare paid $63,416 for services to 274 patients in 2024.
Overview
| NPI | 1861740615 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 28, 2012 |
| Last updated in NPPES | Apr 17, 2013 |
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 (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 274 |
|---|---|
| Services billed | 846 across 9 procedure codes |
| Paid by Medicare | $63,416 |
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