Wisconsin CVS Pharmacy, L.L.C.
NPI 1114310885ActiveOrganization· Pharmacy· Eau Claire, WI
Pharmacy in Eau Claire, Wisconsin, registered in NPPES in March 2015. The authorized official on file is Susan F. Colbert, Sr. Director-Payer Relations. Medicare paid $147,333 for services to 558 patients in 2024.
Overview
| NPI | 1114310885 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 5, 2015 |
| 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 · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 | 558 |
|---|---|
| Services billed | 1,904 across 13 procedure codes |
| Paid by Medicare | $147,333 |
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