Arizona CVS Stores LLC
NPI 1922285709ActiveOrganization· Pharmacy· Lake Havasu City, AZ
Pharmacy in Lake Havasu City, Arizona, registered in NPPES in January 2008. The authorized official on file is Susan F. Colbert, Director Phcy Enrollments. Medicare paid $166,996 for services to 702 patients in 2024.
Overview
| NPI | 1922285709 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2008 |
| Last updated in NPPES | May 5, 2015 |
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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 702 |
|---|---|
| Services billed | 2,174 across 13 procedure codes |
| Paid by Medicare | $166,996 |
Other Pharmacy providers in Lake Havasu City
- 1821603994
- 1437164761
- 1871001248