CVS State Capital LLC
NPI 1972789311ActiveOrganization· Pharmacy· Augusta, ME
Pharmacy in Augusta, Maine, registered in NPPES in January 2008. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $38,843 for services to 146 patients in 2024.
Overview
| NPI | 1972789311 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 16, 2008 |
| Last updated in NPPES | Oct 31, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | PH50001547 | ME |
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 (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 146 |
|---|---|
| Services billed | 492 across 12 procedure codes |
| Paid by Medicare | $38,843 |
Other Pharmacy providers in Augusta
- 1376793257
- 1841649639
- 1871019455
- 1982861811
- 1558887950