VILLAGE APOTHECARY INC (NPI# 1053459040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053459040 |
| Entity Type | Organization |
| Organization Name | VILLAGE APOTHECARY INC |
| Other Organization Name | THE VILLAGE APOTHECARY |
| Practice Address |
110 W Main St Campbellsport WI 53010-2704 |
| Practice Telephone | 9205334012 |
| Practice Fax Number | 9205334012 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-09-12 |
| Authorized Official Name | RONALD GUSSICK (PRESIDENT) |
| Authorized Official Telephone | 9205334012 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5998042 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5113636 | 01 | |
| WI | 33008900 | 05 | |
| OTHER ID NUMBER | 5113636 | 01 |
| Other Name | Type Code |
|---|---|
| THE VILLAGE APOTHECARY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841841715 | Village Apothecary Inc | Pharmacy | 24615 Highway 5, Lonsdale, AR 72087-8017 | 2019-09-23 |
| 1366657033 | Village Apothecary Inc | Pharmacist | 113 Lake Ave North, Battle Lake, MN 56515-0538 | 2007-05-14 |
| 1902954969 | Village Apothecary Inc | Pharmacy | 399 Ponce Deleon Dr, Ste 2, Hot Springs Village, AR 71909-5011 | 2007-01-08 |
| 1538277900 | Village Apothecary Inc | Pharmacy | 1112 S University Ave, Ann Arbor, MI 48104-2522 | 2006-08-27 |
| 1093720617 | Village Apothecary Inc | Pharmacy | 4440 N Highway 7, Hot Springs Village, AR 71909-9301 | 2006-07-30 |
| 1093976094 | Village Apothecary Inc | Durable Medical Equipment & Medical Supplies | 4440 N Highway 7, Hot Springs, AR 71909-9301 | 2008-06-23 |
| Street Address |
110 W MAIN ST |
| City | CAMPBELLSPORT |
| State | WI |
| Zip Code | 53010-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427423318 | Mustafa Hafez | Pharmacist | 110 W Main St, Campbellsport, WI 53010-2704 | 2015-12-03 |
| 1013348572 | Hayat Pharmacy 8, LLC | Pharmacy | 110 W Main St, Campbellsport, WI 53010-2704 | 2013-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962763904 | Amanda Marie Murphy | Licensed Practical Nurse | W3617 Saint Kilian Drive, Campbellsport, WI 53010 | 2012-06-06 |
| 1144513110 | Trisha Jo Pieper | Registered Nurse | W2789 Cty Rd F, Campbellsport, WI 53010 | 2011-05-24 |
| 1154557817 | Schlaefer Optometrists | Clinic/Center | 128 W Main St., Campbellsport, WI 53010 | 2009-06-08 |
| 1639237019 | Aurora Pharmacy, Inc. | Pharmacy | 470 Grand View Avenue, Suite 1, Campbellsport, WI 53010 | 2006-12-05 |
| 1265546600 | Village of Campbellsport | Ambulance | 548 E Main St, Campbellsport, WI 53010 | 2006-08-19 |
| 1083627491 | Jeanne Marie Russart | Licensed Practical Nurse | N1495 Willow Lane, Jeanne Russart, Campbellsport, WI 53010 | 2006-08-15 |
| 1275675217 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 350 E Sheboygan St, Campbellsport, WI 53010 | 2007-02-13 |
| 1881784932 | Dean William Uelmen | Dentist | 206 N Helena St., Campbellsport, WI 53010-0609 | 2006-10-12 |
| 1972649952 | Ronald Moos | Dentist | 130 N Fond Du Lac Ave, Campbellsport, WI 53010-0739 | 2007-01-29 |
| 1114327822 | Kathleen Diane Depies | Registered Nurse | N4539 Mulletview Rd, Campbellsport, WI 53010-1442 | 2014-08-29 |
| Find all providers in zip 53010 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348572 | Hayat Pharmacy 8, LLC | Pharmacy | 110 W Main St, Campbellsport, WI 53010-2704 | 2013-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816939 | The Duluth Clinic, Ltd. | Pharmacy | 204 Belknap St, Ste 100, Superior, WI 54880-2964 | 2020-09-16 |
| 1902417207 | Ipack Pharmacy LLC | Pharmacy | 17000 W North Ave Ste 108w, Brookfield, WI 53005-4423 | 2020-08-11 |
| 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 | CAMPBELLSPORT |
| Zip Code | 53010 |
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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.