Wisconsin Cvs Pharmacy LLC
Pharmacy in Whitefish Bay, WI. Organization (NPI-2).
NPI number1154364321
StatusActive
Last updated in NPPESSep 14, 2012
Details
- NPI
- 1154364321
- Entity type
- Organization (NPI-2)
- Legal business name
- Wisconsin Cvs Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2006
- Last updated
- Sep 14, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Cvs Pharmacy (Doing Business As)
Practice location
240 E Hampton RdWhitefish Bay, WI 53217-5850
Phone 414-962-7071
Mailing address
1 Cvs DrPo Box 1075
Woonsocket, RI 02895-6146
Phone 401-765-1500
Authorized official
Susan Colbert
Director Payer Relations
4017702751
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