JEWEL FOOD STORES INC (NPI# 1285680793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285680793 |
| Entity Type | Organization |
| Organization Name | JEWEL FOOD STORES INC |
| Other Organization Name | OSCO DRUG |
| Practice Address |
5740 Washington Ave Racine WI 53406-4018 |
| Practice Telephone | 2626340105 |
| Practice Fax Number | 2626340142 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LORENZO TORRES (NEW STORE ENROLLMENTS) |
| Authorized Official Telephone | 8479164463 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 8239 | WI | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5127041 | 01 | |
| WI | 33264300 | 05 |
| Other Name | Type Code |
|---|---|
| OSCO DRUG | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811088453 | Jewel Food Stores Inc | Pharmacy | 3030 Cullerton St, Franklin Park, IL 60131-2205 | 2006-09-27 |
| 1467408971 | Jewel Food Stores Inc | Pharmacy | 2355 N 35th St, Milwaukee, WI 53210-3033 | 2006-05-26 |
| 1376599886 | Jewel Food Stores Inc | Pharmacy | N112 W 15800 Mequon Rd, Germantown, WI 53022 | 2006-05-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Jewel Food Stores Inc. | Attn: Corp Tax - P.o. Box 20, 250 Parkcenter Boulevard, Boise, Idaho 83726 |
| North Carolina Corporations | Jewel Food Stores Inc. | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Street Address |
5740 WASHINGTON AVE |
| City | RACINE |
| State | WI |
| Zip Code | 53406-4018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902931702 | Aurora Pharmacy, Inc. | Pharmacy | 5740 Washington Ave, Racine, WI 53406-4018 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| 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 |
|---|---|---|---|---|
| 1912019837 | Nutritional Designs LLC | Pharmacy | 5220 Washington Ave Ste 101, Racine, WI 53406-4228 | 2006-08-31 |
| 1154325199 | Lakeview Pharmacy of Racine Inc | Pharmacy | 516 Monument Sq, Racine, WI 53403-1033 | 2005-06-08 |
| 1063416097 | Lakeview Pharmacy of Racine Inc | Pharmacy | 517 Wisconsin Ave, Racine, WI 53403-1050 | 2005-06-08 |
| 1902931702 | Aurora Pharmacy, Inc. | Pharmacy | 5740 Washington Ave, Racine, WI 53406-4018 | 2007-02-22 |
| 1790878122 | Ascension All Saints Hospital, Inc | Pharmacy | 1244 Wisconsin Ave, Racine, WI 53403-1987 | 2006-09-30 |
| 1407887540 | K Mart Corp | Pharmacy | 2211 S Green Bay Rd, Racine, WI 53406-4919 | 2006-07-06 |
| 1174579528 | Shopko Stores Operating Co LLC | Pharmacy | 4801 Washington Ave, Racine, WI 53406-4219 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355002 | Long Life Pharmacy 2 LLC | Pharmacy | 1225 W Historic Mitchell St Ste 217, Milwaukee, WI 53204-3382 | 2020-11-01 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1790333623 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200w, Milwaukee, WI 53226-3522 | 2019-09-04 |
| 1225686405 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200c, Milwaukee, WI 53226-3522 | 2019-08-30 |
| 1134777337 | Froedtert Health Pharmacy LLC | Pharmacy | 11430 N Port Washington Rd Ste 103, Mequon, WI 53092-3414 | 2019-08-30 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1053967026 | Accurabenefits, LLC | Pharmacy | 2413 Woodland Ter, Neenah, WI 54956-4824 | 2019-08-14 |
| 1184276917 | St. Clare Health Mission Pharmacy | Pharmacy | 916 Ferry St, La Crosse, WI 54601-4717 | 2019-07-11 |
| 1851851141 | Dean Retail Services, Inc. | Pharmacy | 740 Reena Ave Ste 300, Fort Atkinson, WI 53538-3145 | 2019-03-22 |
| 1093287237 | Del Mar Pharmacy Sc | Pharmacy | 1000 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 | 2018-12-28 |
| Find all providers with the same taxonomy | ||||
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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.