MERCY HEALTH SYSTEM CORPORATION (NPI# 1013953504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013953504 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH SYSTEM CORPORATION |
| Other Organization Name | MILTON PHARMACY |
| Practice Address |
725 S Janesville St Milton WI 53563-1775 |
| Mailing Address |
1010 N Washington St Janesville WI 53548-1561 |
| Practice Telephone | 6088686777 |
| Practice Fax Number | 6088684177 |
| Mailing Telephone | 6088686777 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2015-04-16 |
| Authorized Official Name | DON JANCZAK (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 6087566664 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 7665 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5120390 | 01 | |
| WI | 33245800 | 05 |
| Other Name | Type Code |
|---|---|
| MILTON PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356688584 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 2537 W Algonquin Rd, Algonquin, IL 60102-9403 | 2013-01-08 |
| 1487924593 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 3400 Deerfield Drive, Janesville, WI 53546-3557 | 2012-01-05 |
| 1639460736 | Mercy Health System Corporation | Pharmacy | 1010 N Washington St Ste 107, Janesville, WI 53548-1500 | 2011-04-22 |
| 1558506204 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 415 E Congress Pkwy, Crystal Lake, IL 60014-6248 | 2008-12-10 |
| 1356468573 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 1001 Grant St, Harvard, IL 60033-1822 | 2007-03-23 |
| 1437276615 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 47 W Acorn Ln, Lake In The Hills, IL 60156-4804 | 2007-03-23 |
| 1639200108 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 1038 E Geneva St, Delavan, WI 53115-1921 | 2007-03-08 |
| 1699847723 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 2401 Harnish Dr, Algonquin, IL 60102-6846 | 2006-11-14 |
| 1659786457 | Mercy Health System Corporation | Medicare Defined Swing Bed Unit | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2014-07-01 |
| 1891037024 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 839 N Wisconsin St, Elkhorn, WI 53121-4541 | 2013-03-26 |
| Street Address |
725 S JANESVILLE ST |
| City | MILTON |
| State | WI |
| Zip Code | 53563-1775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699231043 | Shannon R. Wixom | Registered Nurse | 725 S Janesville St, Milton, WI 53563-1775 | 2019-02-11 |
| 1376099218 | Carly A Kling | Physical Therapist | 725 S Janesville St, Milton, WI 53563-1775 | 2016-08-31 |
| 1467738310 | Jennifer Snow | Pharmacist | 725 S Janesville St, Milton, WI 53563-1775 | 2011-10-24 |
| 1780845560 | Carrie A Dahl | Physician Assistant | 725 S Janesville St, Milton, WI 53563-1775 | 2008-06-24 |
| 1194841866 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 725 S Janesville St, Suite 100, Milton, WI 53563-1775 | 2007-03-22 |
| 1518004159 | David Charles Bitter | Pharmacist | 725 S Janesville St, Milton, WI 53563-1775 | 2007-01-31 |
| 1023155124 | Richard Walter Mullen | Pharmacist | 725 S Janesville St, Milton, WI 53563-1775 | 2007-01-30 |
| 1194872614 | Rodney J Vanbeek | Family Medicine | 725 S Janesville St, Milton, WI 53563-1775 | 2007-01-05 |
| 1568543353 | Daniel William Riethmiller | Family Medicine | 725 S Janesville St, Milton, WI 53563-1775 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497128359 | Rachel Mildred Mckinley | Occupational Therapist | 5036 Acorn Dr, Milton, WI 53563 | 2015-11-01 |
| 1407814221 | Judy Rae Fladhammer | Licensed Practical Nurse | 14 E Cottonwood Ln, Milton, WI 53563 | 2006-05-02 |
| 1487608832 | Milton Fire Department | Ambulance | 614 W Madison Ave, Milton, WI 53563-1032 | 2006-05-20 |
| 1588759963 | Jeanne M Greulich-rowland | Dentist | 42 Merchant Row, Milton, WI 53563-1135 | 2006-10-03 |
| 1023589975 | Jordan L Thiering | Doula | 26 Morgan St, Milton, WI 53563-1237 | 2018-12-17 |
| 1356808067 | Julia Fosterarmstrong | Clinic/Center | 335 Vernal Ave, Milton, WI 53563-1248 | 2019-02-28 |
| 1164647392 | Julia Foster Armstrong | Dentist | 335 Vernal Ave, Milton, WI 53563-1248 | 2007-04-14 |
| 1659537116 | Lauren Renee Loofboro | Licensed Practical Nurse | 216 E Madison Ave, Milton, WI 53563-1315 | 2008-08-04 |
| 1821461583 | Jessica Sharon Segura | Physical Therapy Assistant | 314 College St, Milton, WI 53563-1413 | 2015-11-03 |
| 1568638740 | Theodore Francis Sykora | Dentist | 649 College St, Milton, WI 53563-1515 | 2008-05-07 |
| Find all providers in zip 53563 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700233368 | Service Pro Pharmacy LLC | Pharmacy | 6472 Highway 90, Milton, FL 32570-4560 | 2016-05-24 |
| 1811388622 | Progressive Health Services | Pharmacy | 200 Broadkill Rd Ste 2, Milton, DE 19968-1010 | 2015-02-16 |
| 1942346556 | Charles Pharmacy Inc | Pharmacy | 5987 Berryhill Rd, Milton, FL 32570-4043 | 2007-01-30 |
| 1598872772 | Kph Healthcare Services, Inc. | Pharmacy | 3 Centre Dr, Milton, VT 05468-3779 | 2006-08-24 |
| 1619982550 | Fruth Pharmacy Inc | Pharmacy | 16 Perry Morris Sq, Milton, WV 25541-1397 | 2006-07-29 |
| 1639102965 | Weis Markets Inc | Pharmacy | 553 Mahoning St # 555, Milton, PA 17847-2213 | 2006-07-09 |
| 1205878501 | Granite Pharmacy Inc. | Pharmacy | 576 Ballard Rd Ste 2, Milton, VT 05468-4210 | 2006-06-12 |
| 1275530180 | Mcgaw Rx, Inc | Pharmacy | 5326 Stewart St, Milton, FL 32570-4736 | 2005-07-07 |
| 1073852331 | Mrnb Inc | Pharmacy | 340 E Main St, Milton, WV 25541-1508 | 2013-02-06 |
| 1831350255 | Milton Family Pharmacy | Pharmacy | 872 E Main St, Milton, WV 25541-1316 | 2008-06-18 |
| Find all providers in MILTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.