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CVS PHARMACY #04996
NPI 1396014908
Pharmacy in Menomonee Falls, WI

Active since December 28, 2011
N83 W15550 APPLETON AVENUE, MENOMONEE FALLS, WI 53051(262) 253-5056 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Jan 17, 2023 (2 updates tracked since 2023).

About Cvs Pharmacy #04996 NPPES

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

CVS PHARMACY #04996 (NPI 1396014908) is a healthcare organization registered as a pharmacy in Menomonee Falls, Wisconsin and active in the NPI registry since December 2011. The organization lists Susan F Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1396014908
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWISCONSIN CVS PHARMACY LLC
Location AddressN83 W15550 APPLETON AVENUEMenomonee Falls, WI 53051
Mailing Address1 Cvs Dr, Box 1075 - Pharmacy EnrollmentsWoonsocket, RI 02895-6146 · (262) 253-5056
Phone(262) 253-5056
Organization SubpartNo
Authorized OfficialSusan F ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateDecember 28, 2011
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
✔ NPI 1396014908 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
N83 W15550 APPLETON AVENUE, Menomonee Falls, WI 53051
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Other Names 1

Doing Business AsCvs Pharmacy #04996

Other Identifiers 3

Other9112-42WI · Pharmacy State License
Medicaid1396014908WI
Other5132977WI · Ncpdp

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 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.
268 services267 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.
219 services219 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.
36 services36 patients

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 1396014908. It was assigned to this organization in the NPPES registry on December 28, 2011. The provider is doing business as CVS Pharmacy #04996.

Where is Wisconsin CVS Pharmacy LLC located?

Wisconsin CVS Pharmacy LLC is located at N83 W15550 Appleton Avenue, Menomonee Falls, WI 53051. The listed phone number is (262) 253-5056.

What is Wisconsin CVS Pharmacy LLC's specialty?

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

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 34 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, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.