Wisconsin CVS Pharmacy LLC
NPI 1013149749ActiveOrganization· Pharmacy· Wauwatosa, WI
Pharmacy in Wauwatosa, Wisconsin, registered in NPPES in August 2009. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $25,740 for services to 100 patients in 2024.
Overview
| NPI | 1013149749 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 13, 2009 |
| Last updated in NPPES | Dec 13, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 8950-042 | WI |
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 (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 100 |
|---|---|
| Services billed | 328 across 10 procedure codes |
| Paid by Medicare | $25,740 |
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