WISCONSIN CVS PHARMACY LLC (NPI# 1417960014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417960014 |
| Entity Type | Organization |
| Organization Name | WISCONSIN CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #16445 |
| Practice Address |
201 Junction Rd Madison WI 53717-2615 |
| Mailing Address |
1 Cvs Dr Mail Code 1090 Woonsocket RI 02895-6146 |
| Practice Telephone | 6088279483 |
| Practice Fax Number | 6088279483 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2016-12-13 |
| Authorized Official Name | SUSAN COLBERT (SR. 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 |
8075042 | WI | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2109848 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #16445 | 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 |
| 1407298383 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2410 8th St S, Wisconsin Rapids, WI 54494-6159 | 2013-07-22 |
| 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 |
| Street Address |
201 JUNCTION RD |
| City | MADISON |
| State | WI |
| Zip Code | 53717-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619926854 | Target Pharmacy T-1060 | Clinic/Center | 201 Junction Rd, Madison, WI 53717-2615 | 2006-05-06 |
| 1013338797 | Kelsy Richardson | Pharmacist | 201 Junction Rd, Madison, WI 53717-2615 | 2013-12-23 |
| 1073877072 | Lisa Moon | Pharmacist | 201 Junction Rd, Madison, WI 53717-2615 | 2012-06-25 |
| 1508152463 | Amanda Rose Lee | Pharmacist | 201 Junction Rd, Madison, WI 53717-2615 | 2011-06-20 |
| 1851686851 | Kevin Look | Pharmacist | 201 Junction Rd, T-1060, Madison, WI 53717-2615 | 2011-06-17 |
| 1578866240 | Glanville Eye Care LLC | Optometrist | 201 Junction Rd, Madison, WI 53717-2615 | 2010-12-17 |
| 1356667281 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 201 Junction Rd, Madison, WI 53717-2615 | 2010-04-16 |
| 1144279837 | Charlie Lee | Pharmacist | 201 Junction Rd, Madison, WI 53717-2615 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720540164 | Apex Chiropractic Center LLC | Chiropractor | 562 Junction Road, Madison, WI 53717 | 2019-04-04 |
| 1467943795 | Brittany Macrander | Speech-Language Pathologist | 701 Deming Way, Madison, WI 53717 | 2018-05-22 |
| 1144622614 | Christopher Leclair | Pharmacist | 7942 Tree Ln, Suite 201, Madison, WI 53717 | 2014-09-16 |
| 1740617430 | Martha Darlene Kniffin | Marriage & Family Therapist | 1805 Excelsior Dr, The Family Center, Madison, WI 53717 | 2013-09-26 |
| 1740538305 | Amber J Thompson | Specialist | 8202 Excelisor Dr, Madison, WI 53717 | 2012-08-29 |
| 1457622938 | Kimberly F Lauth | Physician Assistant | 1200 Q Hammons Drive, Suite 400, Madison, WI 53717 | 2012-01-16 |
| 1699042499 | Cameron K Birch | Pharmacist | 9741 Tree Lane, Suite 201, Madison, WI 53717 | 2011-11-22 |
| 1508023102 | Katherine Jo Hartkopf | Pharmacist | 8501 Excelsior Drive, Rm. 337, Madison, WI 53717 | 2008-05-21 |
| 1366614885 | Periodontal & Implant Specialists of Madison, LLC | Dentist | 49 N Walbridge Ave., Madison, WI 53717 | 2008-03-25 |
| 1598961005 | John H Greist | Psychiatry & Neurology | Healthcare Technology Systems, Inc., 7617 Mineral Point Rd., Ste. 300, Madison, WI 53717 | 2007-06-22 |
| Find all providers in zip 53717 | ||||
| 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 |
|---|---|---|---|---|
| 1013368216 | Kroger Limited Partnership I | Pharmacy | 4579 Wall Triana Hwy, Madison, AL 35758-9305 | 2016-06-29 |
| 1740636786 | Mississippi Center for Advanced Medicine PC | Pharmacy | 7731 Old Canton Rd Ste B, Madison, MS 39110-6115 | 2016-05-09 |
| 1588077325 | Madison Pharmacy Inc. | Pharmacy | 8498 Madison Blvd Ste A, Madison, AL 35758-2049 | 2014-06-10 |
| 1831419688 | Gluckstadt Special Care Pharmacy & Compounding | Pharmacy | 1716 Highway 51, Suite N, Madison, MS 39110-5020 | 2010-06-03 |
| 1013169598 | Willow Pharmacy Inc | Pharmacy | 2445 Darwin Rd, Suite 102, Madison, WI 53704-3116 | 2008-10-16 |
| 1790821312 | Skj Inc | Pharmacy | 217 Cottage Grove Rd, Madison, WI 53716-1105 | 2007-01-30 |
| 1114075777 | Roundys Supermarkets Inc | Pharmacy | 2502 Shopko Dr, Madison, WI 53704-4119 | 2007-01-08 |
| 1134205008 | Moore Health Inc. | Pharmacy | 1400 Eatonton Rd, Suite 600, Madison, GA 30650-4642 | 2006-10-31 |
| 1265521884 | Lewis Drugs Inc | Pharmacy | 741 S Washington Ave, Madison, SD 57042-3409 | 2006-10-12 |
| 1780772236 | University of Wisconsin Hospitals & Clinics Authority | Pharmacy | 702 N Midvale Blvd, Suite 168, Madison, WI 53705-3261 | 2006-10-10 |
| Find all providers in MADISON | ||||
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| 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.