Wisconsin CVS Pharmacy LLC
NPI 1194158303ActiveOrganization· Pharmacy· Janesville, WI
Pharmacy in Janesville, Wisconsin, registered in NPPES in August 2013. The authorized official on file is Susan Colbert, Director Payer Relations. Medicare paid $203,473 for services to 732 patients in 2024.
Overview
| NPI | 1194158303 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2013 |
| Last updated in NPPES | Jan 19, 2023 |
| Certified by provider | Jan 19, 2023 |
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 · 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 | 732 |
|---|---|
| Services billed | 2,646 across 12 procedure codes |
| Paid by Medicare | $203,473 |
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