Wisconsin CVS Pharmacy, L.L.C.
NPI 1336463124ActiveOrganization· Pharmacy· Brookfield, WI
Pharmacy in Brookfield, Wisconsin, registered in NPPES in March 2010. The authorized official on file is Susan Colbert, Director, Payer Relations. Medicare paid $48,349 for services to 196 patients in 2024.
Overview
| NPI | 1336463124 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 23, 2010 |
| 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 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 | 196 |
|---|---|
| Services billed | 614 across 9 procedure codes |
| Paid by Medicare | $48,349 |
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