Wisconsin CVS Pharmacy LLC
NPI 1124326764ActiveOrganization· Pharmacy· Kenosha, WI
Pharmacy in Kenosha, Wisconsin, registered in NPPES in March 2011. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $64,955 for services to 255 patients in 2024.
Overview
| NPI | 1124326764 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 7, 2011 |
| Last updated in NPPES | Jul 15, 2011 |
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 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 | 255 |
|---|---|
| Services billed | 832 across 11 procedure codes |
| Paid by Medicare | $64,955 |
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