SERVICE DRUGS (NPI# 1114070836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114070836 |
| Entity Type | Organization |
| Organization Name | SERVICE DRUGS |
| Practice Address |
130 W Cook Portage WI 53901-2104 |
| Practice Telephone | 6087422808 |
| Mailing Telephone | 6087422808 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-07-10 |
| Authorized Official Name | ROBERT JAMES HEBL (PHARMACIST OWNER) |
| Authorized Official Telephone | 6087422808 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 5463042 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33111200 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | SERVICE DRUGS | 680 Hwy 51 Suite G, Ridgeland, MS 39157 |
| Street Address |
130 W COOK |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| 1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
| 1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
| 1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
| 1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
| 1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
| Find all providers in zip 53901 | ||||
| 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 |
|---|---|---|---|---|
| 1346807138 | Genoa Healthcare, LLC | Pharmacy | 3176 Lancer St Ste 102, Portage, IN 46368-4408 | 2019-05-28 |
| 1134601842 | Shrieeji Inc | Pharmacy | 1716 W Milham Ave, Portage, MI 49024-1230 | 2018-08-30 |
| 1073835872 | James Drug Store-portage LLC | Pharmacy | 3692 Portage St, Portage, PA 15946-6540 | 2010-02-20 |
| 1093822249 | Hardings Galesburg Market Inc | Pharmacy | 6390 S Westnedge Ave, Portage, MI 49002-3572 | 2006-08-24 |
| 1548291529 | Kmart of Michigan Inc | Pharmacy | 6355 S Westnedge Ave, Portage, MI 49002-3545 | 2006-07-06 |
| 1447611363 | Westlake Chemists Inc | Pharmacy | 8822 Portage Rd, Portage, MI 49002-6416 | 2016-03-20 |
| 1710133095 | Divine Savior Healthcare, Inc. | Pharmacy | 2817 New Pinery Rd, Portage, WI 53901-9257 | 2008-08-18 |
| 1770638702 | Gerald M Moschgat | Pharmacy | 619 Main St, Portage, PA 15946-1539 | 2007-01-23 |
| 1306877444 | K Mart Corp | Pharmacy | 2935 New Pinery Rd, Portage, WI 53901-9226 | 2006-07-06 |
| 1578594636 | K Mart Corp | Pharmacy | 6050 Us Highway 6, Portage, IN 46368-5047 | 2006-07-06 |
| Find all providers in PORTAGE | ||||
Please comment or provide details below to improve the information on SERVICE DRUGS.
| 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.