Wisconsin CVS Pharmacy, L.L.C.
NPI 1043625924ActiveOrganization· Pharmacy· Sturgeon Bay, WI
Pharmacy in Sturgeon Bay, Wisconsin, registered in NPPES in June 2014. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $171,196 for services to 641 patients in 2024.
Overview
| NPI | 1043625924 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2014 |
| Last updated in NPPES | Jan 19, 2023 |
| Certified by provider | Jan 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | WI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | WI |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | 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 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 (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 641 |
|---|---|
| Services billed | 2,184 across 10 procedure codes |
| Paid by Medicare | $171,196 |
Other Pharmacy providers in Sturgeon Bay
- 1235163452
- 1073528147