Tennessee CVS Pharmacy LLC
NPI 1992076590ActiveOrganization· Pharmacy· Jackson, TN
Pharmacy in Jackson, Tennessee, registered in NPPES in January 2012. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $37,957 for services to 165 patients in 2024.
Overview
| NPI | 1992076590 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2012 |
| Last updated in NPPES | Mar 7, 2023 |
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 (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 165 |
|---|---|
| Services billed | 492 across 12 procedure codes |
| Paid by Medicare | $37,957 |
Other Pharmacy providers in Jackson
- 1851467823
- 1780103242
- 1992727648
- 1801127667
- 1063429082
- 1184639288
- 1548474133
- 1801803804
- 1831104843