| NPI | 1114310885 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2015-03-05 |
| Last Updated | 2023-01-19 |
| Authorized Official | Susan Colbert SR. DIRECTOR-PAYER RELATIONS Phone: 4017651500 |
| Mailing Address | 1 Cvs Dr, Box 1075 Woonsocket, RI 02895-6146 United States Phone: (401) 765-1500 📍 View Map |
| Primary Practice Address | 2200 Bracket Ave. Eau Claire, WI 54701-4619 United States Phone: (715) 839-0041 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WI | 1114310885 | — |
| Other (non-Medicare) | WI | 5134678 | NCPDP |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | WI | — |
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | WI | — |
| Yes | 333600000X – Pharmacy | WI | — |
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About NPI 1114310885
Wisconsin Cvs Pharmacy, L.l.c. is an organization registered in the CMS NPPES NPI Registry with NPI number 1114310885. The primary specialty listed is Pharmacy. The organization is located in Eau Claire, WI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-03-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114310885?
NPI 1114310885 belongs to Wisconsin Cvs Pharmacy, L.l.c., a Pharmacy in Eau Claire, WI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114310885 active?
The current status of NPI 1114310885 in the NPPES registry is Active. The record was last updated on 2023-01-19.
What specialty is NPI 1114310885?
NPI 1114310885 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114310885?
You can verify NPI 1114310885 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114310885?
The primary practice address on file for NPI 1114310885 is 2200 Bracket Ave., Eau Claire, WI 54701-4619. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114310885 issued?
NPI 1114310885 was first issued (enumerated) on 2015-03-05. The NPPES record was last updated on 2023-01-19.
Practice Location Map
Wisconsin Cvs Pharmacy, L.l.c. is located at 2200 Bracket Ave., Eau Claire, WI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Wisconsin Cvs Pharmacy, L.l.c.. All records sourced from the CMS NPPES registry.