Wisconsin CVS Pharmacy LLC
NPI 1124235916ActiveOrganization· Pharmacy· Madison, WI
Pharmacy in Madison, Wisconsin, registered in NPPES in May 2007. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $44,757 for services to 184 patients in 2024.
Overview
| NPI | 1124235916 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2007 |
| 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 | 8749042 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 184 |
|---|---|
| Services billed | 556 across 11 procedure codes |
| Paid by Medicare | $44,757 |
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