MD GROUP II LLC (NPI# 1043480296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043480296 |
| Entity Type | Organization |
| Organization Name | MD GROUP II LLC |
| Other Organization Name | PARDEEVILLE HOMETOWN PHARMACY |
| Practice Address |
117 N Main St Pardeeville WI 53954-8005 |
| Mailing Address |
333 Lowville Rd Rio WI 53960-9437 |
| Practice Telephone | 6084292325 |
| Practice Fax Number | 6084294895 |
| Mailing Telephone | 9209926800 |
| Mailing Fax Number | 9209926801 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2019-08-09 |
| Authorized Official Name | CHELSEA LISOWE (CONTRACTING SPECIALIST) |
| Authorized Official Telephone | 9209926800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
8824042 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5130567 | 01 | |
| WI | 36226000 | 05 |
| Other Name | Type Code |
|---|---|
| PARDEEVILLE HOMETOWN PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336254382 | Md Group II LLC | Durable Medical Equipment & Medical Supplies | 317 N Us Highway 51, Poynette, WI 53955-9344 | 2006-08-20 |
| 1356383699 | Md Group II LLC | Durable Medical Equipment & Medical Supplies | 208 Lincoln Ave, Rio, WI 53960-8015 | 2006-06-12 |
| 1730121039 | Md Group II LLC | Pharmacy | 1101 Hwy 69 Ste 7, New Glarus, WI 53574 | 2006-06-12 |
| 1356383822 | Md Group II LLC | Durable Medical Equipment & Medical Supplies | 107 N High St, Randolph, WI 53956-1267 | 2006-06-11 |
| 1669416905 | Md Group II LLC | Durable Medical Equipment & Medical Supplies | 202 S Main St, Verona, WI 53593-1422 | 2006-06-16 |
| Street Address |
117 N MAIN ST |
| City | PARDEEVILLE |
| State | WI |
| Zip Code | 53954-8005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476953 | Morgan Anne Deakin | Pharmacist | 117 N Main St, Pardeeville, WI 53954-8005 | 2020-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861904294 | Divine Savior Healthcare, Inc. | Clinic/Center | 102 Gillette Street, Pardeeville, WI 53954 | 2017-10-25 |
| 1851819502 | Jacqueline Ann Stencil | Registered Nurse | W3404 Grouse Ave, Pardeevillle, WI 53954 | 2017-09-01 |
| 1912191214 | Pardeeville Area School District | Local Education Agency (LEA) | 120 S Oak St, Pardeeville, WI 53954 | 2007-08-29 |
| 1649390063 | Virginia G Scott | Dentist | 403 W. Chestnut St., Pardeeville, WI 53954 | 2007-03-30 |
| 1649390071 | Kenneth Binkley | Dentist | 403 W. Chestnut Street, Pardeeville, WI 53954 | 2007-03-30 |
| 1629176649 | Pardeeville District Ambulance Service | Ambulance | 501 Gillette St, Pardeeville, WI 53954 | 2006-09-21 |
| 1407976830 | Virginia G Scott Dds | Dentist | 403 W. Chestnut St., Pardeeville, WI 53954 | 2007-03-30 |
| 1902942691 | Stephen D Woxland | Pharmacist | 135 N Main St, Pardeeville, WI 53954 | 2007-01-29 |
| 1578671269 | Woxland Corp | Pharmacy | 135 N Main St, Pardeeville, WI 53954 | 2006-08-25 |
| 1043441215 | Kate Hillyer | Pharmacist | 135 N Main St, Pardeeville, WI 53954-8005 | 2009-08-05 |
| Find all providers in zip 53954 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
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| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1558906354 | Life Change Rx 4 LLC | Pharmacy | 6300 N 76th St Ste 246, Milwaukee, WI 53218-1208 | 2019-11-15 |
| 1285278978 | Life Change Rx 3 LLC | Pharmacy | 7115 W Capitol Dr, Milwaukee, WI 53216-2051 | 2019-11-05 |
| 1295377703 | Hayat Pharmacy 21 LLC. | Pharmacy | 2333 Northwestern Ave Ste 120, Racine, WI 53404-2520 | 2019-10-16 |
| 1487296737 | Xperience Pharmacy LLC | Pharmacy | 5715 W Appleton Ave, Milwaukee, WI 53210-2250 | 2019-10-08 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1275182925 | Walgreen Co | Pharmacy | 2265 N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2019-09-05 |
| 1982257200 | Hayat Pharmacy 16 LLC | Pharmacy | 603 N 36th St, Milwaukee, WI 53208-3826 | 2019-07-17 |
| Find all providers with the same taxonomy | ||||
| City | PARDEEVILLE |
| Zip Code | 53954 |
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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.