Wisconsin CVS Pharmacy LLC
NPI 1396014908ActiveOrganization· Pharmacy· Menomonee Falls, WI
Pharmacy in Menomonee Falls, Wisconsin, registered in NPPES in December 2011. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $78,396 for services to 326 patients in 2024.
Overview
| NPI | 1396014908 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 28, 2011 |
| Last updated in NPPES | Mar 7, 2023 |
| Certified by provider | Jan 17, 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 | 326 |
|---|---|
| Services billed | 1,032 across 12 procedure codes |
| Paid by Medicare | $78,396 |
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