Wisconsin CVS Pharmacy LLC
NPI 1649947573ActiveOrganization· Pharmacy· Glendale, WI
Pharmacy in Glendale, Wisconsin, registered in NPPES in August 2021. The authorized official on file is Susan F. Colbert, Sr Director. Medicare paid $45,162 for services to 170 patients in 2024.
Overview
| NPI | 1649947573 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 27, 2021 |
| Last updated in NPPES | Oct 7, 2021 |
| Certified by provider | Oct 7, 2021 |
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 | 170 |
|---|---|
| Services billed | 578 across 11 procedure codes |
| Paid by Medicare | $45,162 |
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