Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162) — for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1124235916
Wisconsin Cvs Pharmacy Llc
Organization Subpart: NO
Active
NPI Number1124235916
NPI TypeNPI-2 Organization
SpecialtyPharmacy
Provider Details
NPI1124235916
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-05-17
Last Updated2016-12-13
Authorized OfficialSusan Colbert
Sr. Director, Payer Relations
Phone: 4017702751
Mailing Address1 Cvs Dr, Mail Code 1090
Woonsocket, RI 02895-6146
United States
Phone: (401) 765-1500
📍 View Map
Primary Practice Address4301 Lien Rd
Madison, WI 53704-3608
United States
Phone: (608) 819-1911 | Fax: (608) 327-5671
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)2111038PK
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No3336C0003X – Pharmacy, Community/Retail PharmacyWI8749042
No332B00000X – Durable Medical Equipment & Medical Supplies
Yes333600000X – Pharmacy
Export Provider Record NPI 1124235916
Search for More Providers
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →

About NPI 1124235916

Wisconsin Cvs Pharmacy Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1124235916. The primary specialty listed is Pharmacy. The organization is located in Madison, WI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-05-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124235916?

NPI 1124235916 belongs to Wisconsin Cvs Pharmacy Llc, a Pharmacy in Madison, WI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124235916 active?

The current status of NPI 1124235916 in the NPPES registry is Active. The record was last updated on 2016-12-13.

What specialty is NPI 1124235916?

NPI 1124235916 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 1124235916?

You can verify NPI 1124235916 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 1124235916?

The primary practice address on file for NPI 1124235916 is 4301 Lien Rd, Madison, WI 53704-3608. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124235916 issued?

NPI 1124235916 was first issued (enumerated) on 2007-05-17. The NPPES record was last updated on 2016-12-13.

Practice Location Map

Wisconsin Cvs Pharmacy Llc is located at 4301 Lien Rd, Madison, WI. Use the map below to find directions or verify the practice location.

📍 4301 Lien Rd, Madison, WI 53704-3608  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Wisconsin Cvs Pharmacy Llc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124235916. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy8749042WI
Data Verified from CMS NPPES Last synced: 2026-06-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162