Wisconsin CVS Pharmacy LLC
NPI 1205095056ActiveOrganization· Pharmacy· Milwaukee, WI
Pharmacy in Milwaukee, Wisconsin, registered in NPPES in June 2008. The authorized official on file is Susan Colbert, Director. Medicare paid $30,307 for services to 122 patients in 2024.
Overview
| NPI | 1205095056 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 6, 2008 |
| Last updated in NPPES | Mar 7, 2014 |
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 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) | Enrolled DME Supplier - Pharmacy (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 122 |
|---|---|
| Services billed | 398 across 12 procedure codes |
| Paid by Medicare | $30,307 |
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