Wisconsin CVS Pharmacy LLC
NPI 1639464886ActiveOrganization· Pharmacy· Neenah, WI
Pharmacy in Neenah, Wisconsin, registered in NPPES in June 2011. The authorized official on file is Susan F. Colbert, Director, Payer Relations. Medicare paid $77,181 for services to 294 patients in 2024.
Overview
| NPI | 1639464886 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2011 |
| Last updated in NPPES | Mar 7, 2014 |
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 | 294 |
|---|---|
| Services billed | 1,030 across 11 procedure codes |
| Paid by Medicare | $77,181 |
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