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CVS PHARMACY # 08541
NPI 1447291315
Pharmacy in Green Bay, WI

Active since June 09, 2006CLIA 52D2279467 · Waiver
1561 W MASON ST, GREEN BAY, WI 54303(920) 497-5959 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cvs Pharmacy # 08541 NPPES

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

CVS PHARMACY # 08541 (NPI 1447291315) is a healthcare organization registered as a pharmacy in Green Bay, Wisconsin and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Susan F Colbert, Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1447291315
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWISCONSIN CVS PHARMACY LLC
Location Address1561 W MASON STGreen Bay, WI 54303-2215
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(920) 497-5959
Organization SubpartNo
Authorized OfficialSusan F ColbertDirector, Payer Relations · (401) 770-2751
Enumeration DateJune 9, 2006
Last NPPES UpdateJanuary 19, 2023
NPPES CertifiedJanuary 19, 2023
✔ NPI 1447291315 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
1561 W MASON ST, Green Bay, WI 54303
Open in Google Maps ↗

Other Names 1

Doing Business AsCvs Pharmacy # 08541

Other Identifiers 1

Other5128992Other 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

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 52D2279467

Wisconsin CVS Pharmacy, LLC Dba Cvs/Pharmacy #08541 · Green Bay, WI
Active · expires Apr 2, 2027
CLIA Number52D2279467
Laboratory TypePharmacy
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorDaryl Fahrner
Laboratory Phone(920) 497-5959
Laboratory LocationWisconsin CVS Pharmacy, LLC Dba Cvs/Pharmacy #085411561 W Mason St, Green Bay, WI 54303
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
211 services211 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.
142 services142 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.
61 services61 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.
12 services11 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.
12 services11 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories CVS Pharmacy #08541 carries, from the Medicare DMEPOS supplier directory.

CVS Pharmacy #08541

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

Accepts Medicare assignment

CVS Pharmacy #08541 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)20325305
Medicare Participant SinceJanuary 1, 2023
Supplier Location1561 W Mason StGreen Bay, WI 54303
Phone(920) 497-5959
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 7

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

DR. STACEY LYNN MCDONALD PHARMD
Pharmacist
1561 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 497-5959
DR. DARYL A FAHRNER PHARMD, MBA
Pharmacist
1561 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 497-5959
BRIAN FOLEY
Pharmacist
1561 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 497-5959
DR. SARAH KITCHEN
Pharmacist
1561 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 497-5959
KATHLEEN RUTH HOWE PHARMACIST
Pharmacist
1561 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 497-5959
DANIELLE KRAAK
Pharmacist
1561 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 497-5959
DR. ASHLEY WRIGHT PHARMD, RPH
Pharmacist
1561 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 497-5959

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 1447291315. It was assigned to this organization in the NPPES registry on June 9, 2006. The provider is doing business as CVS Pharmacy # 08541.

Where is Wisconsin CVS Pharmacy LLC located?

Wisconsin CVS Pharmacy LLC is located at 1561 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 497-5959.

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 #08541 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 52D2279467) is associated with this NPI, valid through April 2, 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 January 19, 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.