Wisconsin CVS Pharmacy LLC
NPI 1427242502ActiveOrganization· Pharmacy· Lake Geneva, WI
Pharmacy in Lake Geneva, Wisconsin, registered in NPPES in August 2007. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $193,739 for services to 708 patients in 2024.
Overview
| NPI | 1427242502 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2007 |
| 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 | 8778042 | 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 | 708 |
|---|---|
| Services billed | 2,516 across 11 procedure codes |
| Paid by Medicare | $193,739 |
Other Pharmacy providers in Lake Geneva
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