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CVS PHARMACY # 08764
NPI 1144262338
Pharmacy in Pewaukee, WI

Active since June 12, 2006CLIA 52D2225718 · Waiver
2135 SILVERNAIL RD, PEWAUKEE, WI 53072(262) 513-9221 Get Directions Write a Review

NPPES record last updated: March 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cvs Pharmacy # 08764 NPPES

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

CVS PHARMACY # 08764 (NPI 1144262338) is a healthcare organization registered as a pharmacy in Pewaukee, Wisconsin and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Susan Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1144262338
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWISCONSIN CVS PHARMACY LLC
Location Address2135 SILVERNAIL RDPewaukee, WI 53072-5525
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Phone(262) 513-9221
Organization SubpartNo
Authorized OfficialSusan ColbertDirector · (401) 765-1500
Enumeration DateJune 12, 2006
Last NPPES UpdateMarch 7, 2014
✔ NPI 1144262338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
2135 SILVERNAIL RD, Pewaukee, WI 53072
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Other Names 1

Doing Business AsCvs Pharmacy # 08764

Other Identifiers 3

Other5129110Other Id Number-commercial Number
Medicare PIN000040117
Medicare NSC5742910002

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2225718

Wisconsin CVS Pharmacy, LLC Dba Cvs/Pharmacy #08764 · Pewaukee, WI
Active · expires May 23, 2027
CLIA Number52D2225718
Laboratory TypePharmacy
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorHelen Fagan
Laboratory Phone(866) 389-2727
Laboratory LocationWisconsin CVS Pharmacy, LLC Dba Cvs/Pharmacy #087642135 Silvernail Rd, Pewaukee, WI 53072
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
252 services246 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.
212 services211 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.
26 services26 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #08764 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #08764

DMEPOS supplier · Pewaukee, WIOperated by Wisconsin CVS Pharmacy LLC
✔

Accepts Medicare assignment

CVS Pharmacy #08764 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)20326661
Medicare Participant SinceJanuary 1, 2023
Supplier Location2135 Silvernail RdPewaukee, WI 53072
Phone(262) 513-9221
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 4

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

DEBORAH PETERSON RPH
Pharmacist
2135 SILVERNAIL RD
PEWAUKEE, WI 53072
Waukesha County (262) 513-9221
CAROLINE ANNA BALL PHARMD
Pharmacist
2135 SILVERNAIL RD
PEWAUKEE, WI 53072
Waukesha County (262) 513-9221
EMILY RABL
Pharmacist
2135 SILVERNAIL RD
PEWAUKEE, WI 53072
Waukesha County (262) 513-9221
HEMANGINI SHAH PHARMD
Pharmacist
2135 SILVERNAIL RD
PEWAUKEE, WI 53072
Waukesha County (262) 513-9221

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 LLC's NPI number?

The NPI number for Wisconsin CVS Pharmacy LLC is 1144262338. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is doing business as CVS Pharmacy # 08764.

Where is Wisconsin CVS Pharmacy LLC located?

Wisconsin CVS Pharmacy LLC is located at 2135 Silvernail Rd, Pewaukee, WI 53072. The listed phone number is (262) 513-9221.

What is Wisconsin CVS Pharmacy LLC's specialty?

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

Does Wisconsin CVS Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, CVS Pharmacy #08764 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Wisconsin CVS Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2225718) is associated with this NPI, valid through May 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wisconsin CVS Pharmacy LLC 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 35 other insurers list Wisconsin CVS Pharmacy LLC 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 LLC was last updated on March 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. 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.