WISCONSIN CVS PHARMACY LLC


Address: 7552 W. Oklahoma Ave., West Allis, WI 53219-2860
Phone: 4143218236

WISCONSIN CVS PHARMACY LLC (NPI# 1225305865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225305865
Entity Type Organization
Organization Name WISCONSIN CVS PHARMACY LLC
Other Organization Name CVS PHARMACY #05676
Practice Address 7552 W. Oklahoma Ave.
West Allis
WI 53219-2860
Mailing Address 1 Cvs Dr
Box 1075 - Pharmacy Enrollments
Woonsocket
RI 02895-6146
Practice Telephone 4143218236
Mailing Telephone 4017651500
Enumeration Date 2011-11-28
Last Update Date 2012-09-07
Authorized Official Name SUSAN F COLBERT (DIRECTOR, PAYER RELATIONS)
Authorized Official Telephone 4017702751
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WI 1225305865 05
DEA FW3025079 01
PHARMACY STATE LICENSE 9111-42 01
WI NCPDP 5132915 01

Other Provider/Organization Names

Other Name Type Code
CVS PHARMACY #05676 Doing Business As Name - Organization

Other Provider IDs and Locations

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
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

Office Location

Street Address 7552 W. OKLAHOMA AVE.
City WEST ALLIS
State WI
Zip Code 53219-2860

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588262323 Tammi T Wisniewski Hearing Instrument Specialist 4847 W. Forest Home Avenue, Greenfield, WI 53219 2020-10-14
1174052344 Adam Blaha Physical Therapy Assistant 2622 South 66th Street, Milwaukee, WI 53219 2017-06-09
1700281920 Mary Beth Menarek Counselor 6574 W. Beloit Road, West Allis, WI 53219 2014-10-30
1780959767 James Stanley Ziolkowski Electrodiagnostic Medicine 9330 W. Lincln Ave, West Allis, WI 53219 2012-03-09
1568752707 Carey M Kromarek Social Worker 5757 W. Oklahoma Ave, Suite 203, Milwaukee, WI 53219 2011-04-08
1275834988 Debra L Felzer Registered Nurse 7123 W Stuth Place, West Allis, WI 53219 2010-11-11
1528290327 Miguel Angel Bautista Acupuncturist 4318 W. Foresthowe Ave., Milwaukee, WI 53219 2009-08-13
1629211487 Ruth Irene Young Physical Therapy Assistant 2027 S. 79th Street, West Allis, WI 53219 2009-04-09
1053591818 Linda St. Louis Nurse Practitioner 6030 W. Oklahoma Avenue, Milwaukee, WI 53219 2007-11-09
1811185812 John Stuart Lanham Podiatrist 5720 W Oklahoma Avenue, Milwaukee, WI 53219 2007-10-04
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891148318 West Allis Prescription Center Inc Pharmacy 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 2016-07-20
1467581595 Aurora Pharmacy, Inc. Pharmacy 8615 W Beloit Rd, West Allis, WI 53227-3711 2007-03-05
1164509949 Good Value Pharmacy LLC Pharmacy 10233 W Greenfield Ave, West Allis, WI 53214-3911 2006-11-01
1770514812 K Mart Corp Pharmacy 6900 W Greenfield Ave, West Allis, WI 53214-4849 2006-07-06
1073580403 Methodist Manor Health Center, Inc. Pharmacy 8615 W Beloit Rd, West Allis, WI 53227-3711 2006-03-03

Providers in the same taxonomy and state

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
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Competitor

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City WEST ALLIS
Zip Code 53219

Improve Information

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Dataset Information

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.

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