Wisconsin CVS Pharmacy LLC
NPI 1417960014ActiveOrganization· Pharmacy· Madison, WI
Pharmacy in Madison, Wisconsin, registered in NPPES in August 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $94,269 for services to 348 patients in 2024.
Overview
| NPI | 1417960014 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2006 |
| Last updated in NPPES | Dec 13, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 8075042 | 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 348 |
|---|---|
| Services billed | 1,194 across 11 procedure codes |
| Paid by Medicare | $94,269 |
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