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CVS PHARMACY #17000
NPI 1578585170
Pharmacy in Sheboygan Falls, WI

Active since July 24, 2006
4085 STATE HIGHWAY 28, SHEBOYGAN FALLS, WI 53085(920) 451-8448(920) 917-6440 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 13, 2016, Jan 11, 2016 (2 updates tracked since 2016).

About Cvs Pharmacy #17000 NPPES

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

CVS PHARMACY #17000 (NPI 1578585170) is a healthcare organization registered as a pharmacy in Sheboygan Falls, Wisconsin and active in the NPI registry since July 2006. The organization lists Susan Colbert, Sr. Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1578585170
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWISCONSIN CVS PHARMACY LLC
Location Address4085 STATE HIGHWAY 28Sheboygan Falls, WI 53085-2848
Mailing Address1 Cvs Dr, Mail Code 1090Woonsocket, RI 02895-6146 · (401) 765-1500
Phone(920) 451-8448
Fax(920) 917-6440
Organization SubpartNo
Authorized OfficialSusan ColbertSr. Director, Payer Relations · (401) 770-2751
Enumeration DateJuly 24, 2006
Last NPPES UpdateDecember 13, 20162 updates tracked since enumeration
✔ NPI 1578585170 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 · License 8376042 (WI)
4085 STATE HIGHWAY 28, Sheboygan Falls, WI 53085
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Other Names 1

Doing Business AsCvs Pharmacy #17000

Other Identifiers 2

Other2110141Pk
Medicare NSC5742910075

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.
190 services189 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.
108 services108 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.
76 services76 patients

Medical Equipment Supplier Medicare DMEPOS 19

Medicare supplier enrollment and the product categories Wisconsin CVS Pharmacy, L.L.C. carries, from the Medicare DMEPOS supplier directory.

Wisconsin CVS Pharmacy, L.L.C.

DMEPOS supplier · Sheboygan Falls, WI
✔

Accepts Medicare assignment

Wisconsin CVS Pharmacy, L.L.C. 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)20325575
Medicare Participant SinceJanuary 1, 2023
Supplier Location4085 State Highway 28Sheboygan Falls, WI 53085
Phone(920) 451-8448
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.

MELINDA CHRISTINE DUFFY PHARMD
Pharmacist
4085 STATE HIGHWAY 28
SHEBOYGAN FALLS, WI 53085
Sheboygan County (920) 451-8448
JACQUELYN BRUGGER PHARMD, RPH
Pharmacist
4085 STATE HIGHWAY 28, T1880
SHEBOYGAN FALLS, WI 53085
Sheboygan County (920) 451-8448
CARA MCGURRY
Pharmacist
4085 STATE HIGHWAY 28
SHEBOYGAN FALLS, WI 53085
Sheboygan County (920) 451-6802
DAWN KLINTER RPH
Pharmacist
4085 STATE HIGHWAY 28
SHEBOYGAN FALLS, WI 53085
Sheboygan County (920) 451-8448

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 1578585170. It was assigned to this organization in the NPPES registry on July 24, 2006. The provider is doing business as CVS Pharmacy #17000.

Where is Wisconsin CVS Pharmacy LLC located?

Wisconsin CVS Pharmacy LLC is located at 4085 State Highway 28, Sheboygan Falls, WI 53085. The listed phone number is (920) 451-8448.

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, Wisconsin CVS Pharmacy, L.L.C. accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 December 13, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.