Wisconsin CVS Pharmacy LLC
NPI 1306134655ActiveOrganization· Pharmacy· Green Bay, WI
Pharmacy in Green Bay, Wisconsin, registered in NPPES in July 2011. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $35,001 for services to 142 patients in 2024.
Overview
| NPI | 1306134655 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2011 |
| Last updated in NPPES | Mar 21, 2012 |
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 | 142 |
|---|---|
| Services billed | 454 across 12 procedure codes |
| Paid by Medicare | $35,001 |
Other Pharmacy providers in Green Bay
- 1164457131
- 1760416986
- 1326023664
- 1104827146
- 1033124185
- 1366459307
- 1689164725
- 1770598823
- 1912180894
- 1932114089
- 1942215090
- 1265473136