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CVS PHARMACY # 08535
NPI 1265473136
Pharmacy in Green Bay, WI

Active since June 09, 2006CLIA Certified · 2 labs
2222 S WEBSTER AVE, GREEN BAY, WI 54301(920) 430-8089 Get Directions Write a Review

NPPES record last updated: March 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cvs Pharmacy # 08535 NPPES

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

CVS PHARMACY # 08535 (NPI 1265473136) is a healthcare organization registered as a pharmacy in Green Bay, Wisconsin and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Susan Colbert, Director, as its authorized official.

NPPES Registry Identity

NPI1265473136
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWISCONSIN CVS PHARMACY LLC
Location Address2222 S WEBSTER AVEGreen Bay, WI 54301-2100
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Phone(920) 430-8089
Organization SubpartNo
Authorized OfficialSusan ColbertDirector · (401) 765-1500
Enumeration DateJune 9, 2006
Last NPPES UpdateMarch 7, 2014
✔ NPI 1265473136 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
2222 S WEBSTER AVE, Green Bay, WI 54301
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Other Names 1

Doing Business AsCvs Pharmacy # 08535

Other Identifiers 3

Medicare PIN000040116
Medicare NSC5742910024
Other5129021Other Id Number-commercial Number

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 2

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 52D2224206

Wisconsin CVS Pharmacy LLC Dba CVS Pharmacy #08535 · Green Bay, WI
Active · expires May 11, 2027
CLIA Number52D2224206
Laboratory TypePharmacy
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorCarrie Tilkens
Laboratory Phone(866) 389-2727
Laboratory LocationWisconsin CVS Pharmacy LLC Dba CVS Pharmacy #085352222 S Webster Ave, Green Bay, WI 54301
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 52D2258977

Wisconsin CVS Pharmacy, LLC Dba Cv/Pharmacy #02237 · Green Bay, WI
Active · expires Apr 28, 2028
CLIA Number52D2258977
Laboratory TypePharmacy
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorSeth Wiersma
Laboratory Phone(866) 389-2727
Laboratory LocationWisconsin CVS Pharmacy, LLC Dba Cv/Pharmacy #02237930 Main St, Green Bay, WI 54301
CLIA data matches this NPI record on: 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.
233 services228 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.
171 services171 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.
48 services48 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #08535 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #08535

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

Accepts Medicare assignment

CVS Pharmacy #08535 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)20325335
Medicare Participant SinceJanuary 1, 2023
Supplier Location2222 S Webster AveGreen Bay, WI 54301
Phone(920) 430-8089
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 3

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

SARA BLOHM
Pharmacist
2222 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 430-8089
NICOLE KOTILA RPH
Pharmacist
2222 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 430-8089
SARA KORNOWSKE PHARMD
Pharmacist
2222 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 430-8089

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 1265473136. It was assigned to this organization in the NPPES registry on June 9, 2006. The provider is doing business as CVS Pharmacy # 08535.

Where is Wisconsin CVS Pharmacy LLC located?

Wisconsin CVS Pharmacy LLC is located at 2222 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 430-8089.

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 #08535 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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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.