Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wisconsin Cvs Pharmacy LLC

Organization Pharmacy · NPI 1073554945

Wisconsin Cvs Pharmacy LLC is a Pharmacy in Kenosha, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2207 80th St
Kenosha, WI 53143-5756
Phone: (262) 658-3731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1073554945
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Exec Dir, Rx Svcs · (401) 770-2751
Other names Cvs Pharmacy #08774; Cvs Pharmacy #08774
NPI enumeratedJune 9, 2006
Last updated in NPPESJanuary 19, 2023
Certification dateJanuary 19, 2023
Mailing address1 Cvs Dr, Po Box 1075, Woonsocket, RI 02895-6146

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