Wisconsin CVS Pharmacy LLC
NPI 1114172400ActiveOrganization· Pharmacy· Beloit, WI
Pharmacy in Beloit, Wisconsin, registered in NPPES in December 2008. The authorized official on file is Susan F. Colbert, Director Payer Relations. Medicare paid $93,761 for services to 360 patients in 2024.
Overview
| NPI | 1114172400 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 1, 2008 |
| Last updated in NPPES | Mar 7, 2014 |
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 (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 360 |
|---|---|
| Services billed | 1,226 across 12 procedure codes |
| Paid by Medicare | $93,761 |
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