WISCONSIN CVS PHARMACY LLC (NPI# 1407298383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407298383 |
| Entity Type | Organization |
| Organization Name | WISCONSIN CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #10163 |
| Practice Address |
2410 8th St S Wisconsin Rapids WI 54494-6159 |
| Mailing Address |
One Cvs Drive Box 1075 - Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 7154232340 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-12-13 |
| Authorized Official Name | SUSAN F 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 | 1407298383 | 05 | |
| NCPDP | 5133842 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY #10163 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508299926 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1736 W. 9th Ave., Oshkosh, WI 54902 | 2013-08-21 |
| 1194158303 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1700 Milton Ave., Janesville, WI 53545-0833 | 2013-08-12 |
| 1831537869 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 102 Central Bridge St, Wausau, WI 54401-2944 | 2013-06-12 |
| 1376899120 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4301 W Wisconsin Ave Ste 42, Appleton, WI 54913-6524 | 2012-07-31 |
| 1225398738 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12725 W Bluemound Rd, Brookfield, WI 53005-8032 | 2012-05-18 |
| 1396014908 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | N83 W15550 Appleton Avenue, Menomonee Falls, WI 53051 | 2011-12-28 |
| 1467720037 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6701 Mineral Point Road, Madison, WI 53705-4241 | 2011-12-09 |
| 1225305865 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7552 W. Oklahoma Ave., West Allis, WI 53219-2860 | 2011-11-28 |
| 1952678591 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 605 W. Cottage Grove Rd., Cottage Grove, WI 53527-9222 | 2011-11-28 |
| 1306134655 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 930 Main Street, Green Bay, WI 54301-4806 | 2011-07-20 |
| Street Address |
2410 8TH ST S |
| City | WISCONSIN RAPIDS |
| State | WI |
| Zip Code | 54494-6159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205453933 | Colt Cooney | Pharmacist | 2410 8th St S, Wisconsin Rapids, WI 54494-6159 | 2020-06-29 |
| 1396370987 | Becky Ault | Pharmacist | 2410 8th St S, Wisconsin Rapids, WI 54494-6159 | 2020-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114556057 | Danny Thomas O'day | Massage Therapist | 2841 Saratoga St., Wisconsin Rapids, WI 54494 | 2020-04-03 |
| 1588184584 | Debra Lee Eberhardy | Acupuncturist | 400 Daly Avenue, Suite 101, Wisconsin Rapids, WI 54494 | 2017-06-21 |
| 1235687716 | Jessica Lynn Noah | Marriage & Family Therapist | 3930 8th St. So., Ste 101, Wisconsin Rapids, WI 54494 | 2016-09-14 |
| 1700332079 | Tammy Marie Fischer | Social Worker | 3908 8th Street South, Suite 101, Wisconsin Rapids, WI 54494 | 2016-08-28 |
| 1720447675 | Marita Lynn Verhalen | Occupational Therapist | 410 Dewey St, Wisconsin Rapids, WI 54494 | 2016-02-21 |
| 1346656469 | Lori Kroening | Counselor | 2509 8th Street S, Wisconsin Rapids, WI 54494 | 2014-07-09 |
| 1104166305 | Shannon Colleen Huff | Psychologist | 531 3rd St S, Wisconsin Rapids, WI 54494 | 2013-02-25 |
| 1245589787 | Jennifer J Derousseau | Social Worker | 2611 12th Street South, Wisconsin Rapids, WI 54494 | 2012-08-30 |
| 1922200575 | Thomas Harrison Raabe | Optometrist | 132 East Grand Ave, Wisconsin Rapids, WI 54494 | 2007-06-05 |
| 1508901067 | Michael J Downs | Optometrist | 1730 7th St S, Wisconsin Rapids, WI 54494 | 2007-02-21 |
| Find all providers in zip 54494 | ||||
| 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 |
|---|---|---|---|---|
| 1437104049 | Shopko Stores Operating Co LLC | Pharmacy | 1100 E Riverview Expy, Wisconsin Rapids, WI 54494-5483 | 2006-05-23 |
| 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 | WISCONSIN RAPIDS |
| Zip Code | 54494 |
Please comment or provide details below to improve the information on WISCONSIN CVS PHARMACY LLC.
| 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.