Louisiana CVS Pharmacy LLC
NPI 1912211624ActiveOrganization· Pharmacy· Jefferson, LA
Pharmacy in Jefferson, Louisiana, registered in NPPES in August 2010. The authorized official on file is Susan F. Colbert, Director,payer Relations. Medicare paid $15,789 for services to 63 patients in 2024.
Overview
| NPI | 1912211624 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 5, 2010 |
| Last updated in NPPES | May 21, 2020 |
| Certified by provider | May 21, 2020 |
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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (LA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 63 |
|---|---|
| Services billed | 198 across 10 procedure codes |
| Paid by Medicare | $15,789 |
Other Pharmacy providers in Jefferson
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- 1548520844
- 1659004521