Wisconsin CVS Pharmacy LLC
NPI 1366707390ActiveOrganization· Pharmacy· Superior, WI
Pharmacy in Superior, Wisconsin, registered in NPPES in July 2012. The authorized official on file is Susan Colbert, Director Payer Relations. Medicare paid $67,443 for services to 253 patients in 2024.
Overview
| NPI | 1366707390 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 5, 2012 |
| Last updated in NPPES | Mar 7, 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 | 253 |
|---|---|
| Services billed | 862 across 11 procedure codes |
| Paid by Medicare | $67,443 |
Other pharmacies in Superior
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