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CVS PHARMACY
NPI 1528009495
Pharmacy in Cedarburg, WI

Active since June 09, 2006CLIA 52D2226443 · Waiver
W63N152 WASHINGTON AVE, CEDARBURG, WI 53012(262) 377-6090 Get Directions Write a Review

NPPES record last updated: March 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cvs Pharmacy NPPES

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

CVS PHARMACY (NPI 1528009495) is a healthcare organization registered as a pharmacy in Cedarburg, Wisconsin and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Susan Colbert, Director Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1528009495
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWISCONSIN CVS PHARMACY LLC
Location AddressW63N152 WASHINGTON AVECedarburg, WI 53012-2725
Mailing Address1 Cvs Dr, Po Box 1075Woonsocket, RI 02895-6146
Phone(262) 377-6090
Organization SubpartNo
Authorized OfficialSusan ColbertDirector Payer Relations · (401) 770-2751
Enumeration DateJune 9, 2006
Last NPPES UpdateMarch 2, 2012
✔ NPI 1528009495 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
W63N152 WASHINGTON AVE, Cedarburg, WI 53012
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Other Names 1

Doing Business AsCvs Pharmacy

Other Identifiers 4

Medicare PINP00962781
Medicare NSC5742910008
Medicare PIN000040117
Other5129083Other 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 52D2226443

Wisconsin CVS Pharmacy, LLC Dba Cvs/Pharmacy #08775 · Cedarburg, WI
Active · expires May 31, 2027
CLIA Number52D2226443
Laboratory TypePharmacy
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorDipti Patel
Laboratory Phone(866) 389-2727
Laboratory LocationWisconsin CVS Pharmacy, LLC Dba Cvs/Pharmacy #08775W63-N152 Washington Ave, Cedarburg, WI 53012
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 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.
432 services425 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.
237 services237 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.
170 services170 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.
22 services22 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.
22 services22 patients

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.

MUHAMMAD IBRAHIM RPH
Pharmacist
W63N152 WASHINGTON AVE
CEDARBURG, WI 53012
Ozaukee County (262) 377-6090
JOHN F HAMMES
Pharmacist
W63N152 WASHINGTON AVE
CEDARBURG, WI 53012
Ozaukee County (262) 377-5685
JAMES ERLWIG
Pharmacist
W63N152 WASHINGTON AVE
CEDARBURG, WI 53012
Ozaukee County (262) 377-5685

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 1528009495. It was assigned to this organization in the NPPES registry on June 9, 2006. The provider is doing business as CVS Pharmacy.

Where is Wisconsin CVS Pharmacy LLC located?

Wisconsin CVS Pharmacy LLC is located at W63n152 Washington Ave, Cedarburg, WI 53012. The listed phone number is (262) 377-6090.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2226443) is associated with this NPI, valid through May 31, 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 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.