Wisconsin CVS Pharmacy LLC
NPI 1447291315ActiveOrganization· Pharmacy· Green Bay, WI
Pharmacy in Green Bay, Wisconsin, registered in NPPES in June 2006. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $76,060 for services to 283 patients in 2024.
Overview
| NPI | 1447291315 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2006 |
| Last updated in NPPES | Jan 19, 2023 |
| Certified by provider | Jan 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| 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 | 283 |
|---|---|
| Services billed | 960 across 11 procedure codes |
| Paid by Medicare | $76,060 |
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All 15 pharmacies in Green Bay · All pharmacies in Wisconsin