Wisconsin CVS Pharmacy LLC
NPI 1376899120ActiveOrganization· Pharmacy· Appleton, WI
Pharmacy in Appleton, Wisconsin, registered in NPPES in July 2012. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $19,508 for services to 76 patients in 2024.
Overview
| NPI | 1376899120 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 31, 2012 |
| Last updated in NPPES | Dec 5, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 915142 | WI |
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 | 76 |
|---|---|
| Services billed | 250 across 9 procedure codes |
| Paid by Medicare | $19,508 |
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