Wisconsin CVS Pharmacy LLC
Organization Active NPI Pharmacy · Franklin, WI
NPI 1013144971 · NPPES record last updated Feb 24, 2026
Key facts
- NPI
- 1013144971
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- WISCONSIN CVS PHARMACY LLC
- Practice address
- 5220 West Rawson Ave
Franklin, WI 53132 - Phone
- (414) 423-5257
- NPI assigned
- Jun 18, 2009
- Organization subpart
- No
Authorized official
- Name
- Susan Colbert
- Title
- Sr. Director, Payer Relations
- Phone
- (401) 765-1500
Corporate family (same tax ID) 13
Member of 1
Practitioners 9
-
Kelvi Como, PHARMD
-
Kelly Fausek, PHARMD.
-
Bridget Elizabeth Fleming, PHARMD
-
Shawn Michael Jozefczyk, PHARMD
-
Sarah Seward, PHARMD, BCPS
-
Melissa Catherine Vandermause, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2226851 | Wisconsin CVS Pharmacy, LLC | Certificate of waiver | Jun 3, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Wisconsin CVS Pharmacy LLC |
Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Urologic… | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080110000070 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 1658451059 | This NPI is an additional NPI on the enrollment |
| O20100930022945 | WI | DME Supplier - Pharmacy | 1658451059 | Practice locations: Franklin, WI |
National Provider Directory
- Tax ID family
- Wisconsin CVS Pharmacy LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
5220 West Rawson Ave
Franklin, WI 53132
Mailing address
1 CVS Dr
Box 1075-Pharmacy Enrollments
Woonsocket, RI 02895-6146
Phone (401) 765-1500
Other names
- CVS Pharmacy # 05390
Other providers in Franklin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.