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CVS PHARMACY # 10419
NPI 1043625924
Pharmacy in Sturgeon Bay, WI

Active since June 30, 2014
1407 EGG HARBOR RD, STURGEON BAY, WI 54235(920) 743-6089 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cvs Pharmacy # 10419 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CVS PHARMACY # 10419 (NPI 1043625924) is a healthcare organization registered as a pharmacy in Sturgeon Bay, Wisconsin and active in the NPI registry since June 2014. The organization lists Susan Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1043625924
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWISCONSIN CVS PHARMACY, L.L.C.
Location Address1407 EGG HARBOR RDSturgeon Bay, WI 54235-1239
Mailing AddressBox 1075, One Cvs DriveWoonsocket, RI 02895-6146 · (401) 765-1500
Phone(920) 743-6089
Organization SubpartNo
Authorized OfficialSusan ColbertDirector, Payer Relations · (401) 765-1500
Enumeration DateJune 30, 2014
Last NPPES UpdateJanuary 19, 2023
NPPES CertifiedJanuary 19, 2023
✔ NPI 1043625924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1407 EGG HARBOR RD, Sturgeon Bay, WI 54235
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Other Names 1

Doing Business AsCvs Pharmacy # 10419

Other Identifiers 2

Other5134402WI · Ncpdp
Medicaid100041480WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
494 services490 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
352 services352 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
125 services125 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
27 services27 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
27 services27 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #10419 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #10419

DMEPOS supplier · Sturgeon Bay, WIOperated by Wisconsin CVS Pharmacy LLC
✔

Accepts Medicare assignment

CVS Pharmacy #10419 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20319005
Medicare Participant SinceJanuary 1, 2023
Supplier Location1407 Egg Harbor RdSturgeon Bay, WI 54235
Phone(401) 765-1500
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC J LARDINOIS PHARMD
Pharmacist
1407 EGG HARBOR RD
STURGEON BAY, WI 54235
Door County (920) 746-0412
PATRICIA BERTRAM R.PH.
Pharmacist
1407 EGG HARBOR RD
STURGEON BAY, WI 54235
Door County (920) 743-6089

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wisconsin CVS Pharmacy, L.L.C.'s NPI number?

The NPI number for Wisconsin CVS Pharmacy, L.L.C. is 1043625924. It was assigned to this organization in the NPPES registry on June 30, 2014. The provider is doing business as CVS Pharmacy # 10419.

Where is Wisconsin CVS Pharmacy, L.L.C. located?

Wisconsin CVS Pharmacy, L.L.C. is located at 1407 Egg Harbor Rd, Sturgeon Bay, WI 54235. The listed phone number is (920) 743-6089.

What is Wisconsin CVS Pharmacy, L.L.C.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Wisconsin CVS Pharmacy, L.L.C. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #10419 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Wisconsin CVS Pharmacy, L.L.C. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 34 other insurers list Wisconsin CVS Pharmacy, L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wisconsin CVS Pharmacy, L.L.C. was last updated on January 19, 2023, 3 years ago. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.