WISCONSIN CVS PHARMACY, L.L.C. (NPI# 1336463124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336463124 |
| Entity Type | Organization |
| Organization Name | WISCONSIN CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY# 06855 |
| Practice Address |
17165 W Bluemound Rd Brookfield WI 53005-5917 |
| Mailing Address |
1 Cvs Dr Box 1075-pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 2627979074 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2014-03-07 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1336463124 | 05 | |
| WI | NCPDP | 5132179 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy# 06855 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942686068 | Wisconsin Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 535 E. Division Ave., Barron, WI 54812 | 2015-07-31 |
| 1245615640 | Wisconsin Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3915 Durand Ave, Elmwood Park, WI 53405-4402 | 2015-07-27 |
| 1265813364 | Wisconsin Cvs Pharmacy, L.L.C. | Pharmacy | 1108 N 14th St, Sheboygan, WI 53081-3213 | 2015-06-15 |
| 1114310885 | Wisconsin Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2200 Bracket Ave., Eau Claire, WI 54701-4619 | 2015-03-05 |
| 1780090415 | Wisconsin Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 433 Broadway St S, Menomonie, WI 54751-1822 | 2014-07-02 |
| 1043625924 | Wisconsin Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1407 Egg Harbor Rd, Sturgeon Bay, WI 54235-1239 | 2014-06-30 |
| 1467772673 | Wisconsin Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2 S Bedford St, Madison, WI 53703-2624 | 2010-06-10 |
| 1013144971 | Wisconsin Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5220 West Rawson Ave, Franklin, WI 53132 | 2009-06-18 |
| Street Address |
17165 W BLUEMOUND RD |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53005-5917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037408 | Elyce Hoffman | Pharmacist | 17165 W Bluemound Rd, Brookfield, WI 53005-5917 | 2020-03-05 |
| 1801421367 | Basil George Yacoub | Pharmacist | 17165 W Bluemound Rd, Brookfield, WI 53005-5917 | 2020-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937621 | Nsk Precision Healing & Wellness | Acupuncturist | 17040 W. Greenfield Ave #6, Brookfield, WI 53005 | 2020-09-21 |
| 1033772124 | Dbt Consultants LLC | Social Worker | 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 | 2019-04-15 |
| 1780142588 | Ashley Wing | Registered Nurse | 405 Bishops Way, Apt 555, Brookfield, WI 53005 | 2019-03-11 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1720509045 | Rss William Conner LLC | Dentist | 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 | 2017-06-28 |
| 1669926598 | Mackenzie Rondeau | Physical Therapist | 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 | 2016-08-09 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1164804274 | Mary-catherine Nimphius | Counselor | 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 | 2015-06-25 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1366837346 | Maegan Michelle Cook | Dentist | 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 | 2015-04-06 |
| Find all providers in zip 53005 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164745162 | Roundys Supermarkets Inc | Pharmacy | 17630 W Bluemound Rd, Brookfield, WI 53045-2908 | 2010-03-04 |
| 1326291345 | Roundys Supermarkets Inc | Pharmacy | 17295 W Capitol Dr, Brookfield, WI 53045-2004 | 2008-11-04 |
| 1891945283 | Matste Inc | Pharmacy | 7160 Warren Sharon Rd, Brookfield, OH 44403-9657 | 2008-09-23 |
| 1083762348 | Roundys Supermarkets Inc | Pharmacy | 15170 W Greenfield Ave, Brookfield, WI 53005-7018 | 2007-01-05 |
| 1285235614 | Matste Inc | Pharmacy | 7160 Warren Sharon Rd, Brookfield, OH 44403-9657 | 2020-11-03 |
| 1912154774 | Brookfield Prescription Center Inc | Pharmacy | 19035 W Capitol Dr, Brookfield, WI 53045-2755 | 2008-08-24 |
| 1962433003 | K Mart Corp | Pharmacy | 18200 W Bluemound Rd, Brookfield, WI 53045-2930 | 2006-07-06 |
| 1114994209 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 19333 W North Ave, Suite 390, Brookfield, WI 53045-4132 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355002 | Long Life Pharmacy 2 LLC | Pharmacy | 1225 W Historic Mitchell St Ste 217, Milwaukee, WI 53204-3382 | 2020-11-01 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1790333623 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200w, Milwaukee, WI 53226-3522 | 2019-09-04 |
| 1225686405 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200c, Milwaukee, WI 53226-3522 | 2019-08-30 |
| 1134777337 | Froedtert Health Pharmacy LLC | Pharmacy | 11430 N Port Washington Rd Ste 103, Mequon, WI 53092-3414 | 2019-08-30 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1053967026 | Accurabenefits, LLC | Pharmacy | 2413 Woodland Ter, Neenah, WI 54956-4824 | 2019-08-14 |
| 1184276917 | St. Clare Health Mission Pharmacy | Pharmacy | 916 Ferry St, La Crosse, WI 54601-4717 | 2019-07-11 |
| 1851851141 | Dean Retail Services, Inc. | Pharmacy | 740 Reena Ave Ste 300, Fort Atkinson, WI 53538-3145 | 2019-03-22 |
| 1093287237 | Del Mar Pharmacy Sc | Pharmacy | 1000 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 | 2018-12-28 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 53005 |
Please comment or provide details below to improve the information on WISCONSIN CVS PHARMACY, L.L.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.