Wisconsin CVS Pharmacy LLC
NPI 1407298383ActiveOrganization· Pharmacy· Wisconsin Rapids, WI
Pharmacy in Wisconsin Rapids, Wisconsin, registered in NPPES in July 2013. The authorized official on file is Susan F. Colbert, Director Payer Relations. Medicare paid $72,529 for services to 278 patients in 2024.
Overview
| NPI | 1407298383 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 22, 2013 |
| Last updated in NPPES | Dec 13, 2013 |
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 | 278 |
|---|---|
| Services billed | 952 across 12 procedure codes |
| Paid by Medicare | $72,529 |
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