Wisconsin CVS Pharmacy LLC
NPI 1477788594ActiveOrganization· Pharmacy· Waukesha, WI
Pharmacy in Waukesha, Wisconsin, registered in NPPES in May 2009. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations. Medicare paid $49,377 for services to 214 patients in 2024.
Overview
| NPI | 1477788594 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2009 |
| 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 | 8929-042 | 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 | 214 |
|---|---|
| Services billed | 668 across 10 procedure codes |
| Paid by Medicare | $49,377 |
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