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Wisconsin CVS Pharmacy LLC

NPI 1144262338ActiveOrganization· Pharmacy· Pewaukee, WI

Pharmacy in Pewaukee, Wisconsin, registered in NPPES in June 2006. The authorized official on file is Susan Colbert, Director. Medicare paid $72,477 for services to 287 patients in 2024.

Overview

NPI1144262338
StatusActive
Entity typeOrganization
NPI issuedJun 12, 2006
Last updated in NPPESMar 7, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X——
Pharmacy, Community/Retail Pharmacy3336C0003X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients287
Services billed958 across 12 procedure codes
Paid by Medicare$72,477

Medicare sources and data years

Other Pharmacy providers in Pewaukee

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