Idaho CVS Pharmacy LLC
NPI 1982626891ActiveOrganization· Pharmacy· Lewiston, ID
Pharmacy in Lewiston, Idaho, registered in NPPES in July 2006. The authorized official on file is Susan F. Colbert, Sr. Director, Payer Relations. Medicare paid $81,347 for services to 309 patients in 2024.
Overview
| NPI | 1982626891 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2006 |
| Last updated in NPPES | Sep 10, 2025 |
| Certified by provider | Sep 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | ID1209CP | ID |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | ID1209CP | ID |
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 (ID); Part B Supplier - Mass Immunization (Roster Biller Only) (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 309 |
|---|---|
| Services billed | 1,076 across 13 procedure codes |
| Paid by Medicare | $81,347 |
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