Oregon CVS Pharmacy LLC
NPI 1912016205ActiveOrganization· Pharmacy· Prineville, OR
Pharmacy in Prineville, Oregon, registered in NPPES in August 2006. The authorized official on file is Susan F. Colbert, Sr. Director, Payer Relations. Medicare paid $76,351 for services to 284 patients in 2024.
Overview
| NPI | 1912016205 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 30, 2006 |
| Last updated in NPPES | Sep 19, 2025 |
| Certified by provider | Sep 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 7146 | OR |
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 (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 284 |
|---|---|
| Services billed | 970 across 11 procedure codes |
| Paid by Medicare | $76,351 |
Other Pharmacy providers in Prineville
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