DEGEN BERGLUND INC (NPI# 1427086826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427086826 |
| Entity Type | Organization |
| Organization Name | DEGEN BERGLUND INC |
| Other Organization Name | DEGEN BERGLUND VILLAGE |
| Practice Address |
2511 Green Bay Street La Crosse WI 54601-6155 |
| Mailing Address |
Po Box 3157 La Crosse WI 54602-3157 |
| Practice Telephone | 6087758585 |
| Practice Fax Number | 6087758598 |
| Mailing Telephone | 6087758500 |
| Mailing Fax Number | 6087758555 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2018-12-05 |
| Authorized Official Name | MR. JON BINGOL (DIRECTOR) |
| Authorized Official Telephone | 6087758500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
9090-042 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0988816 | 05 | |
| WI | NCPDP | 5103851 | 01 |
| MN | 202224900 | 05 | |
| MN | 187315600 | 05 | |
| WI | 33210900 | 05 | |
| WI | DEA | FD0491910 | 01 |
| Other Name | Type Code |
|---|---|
| Degen Berglund Village | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336177732 | Degen Berglund Inc | Durable Medical Equipment & Medical Supplies | 111 Sand Lake Rd, Onalaska, WI 54650-2760 | 2006-06-28 |
| 1316988157 | Degen Berglund Inc | Pharmacy | 600 N Holmen Dr, Ste 1, Holmen, WI 54636-9606 | 2006-06-10 |
| 1437104064 | Degen Berglund Inc | Durable Medical Equipment & Medical Supplies | 4000 Mormon Coulee Rd, La Crosse, WI 54601-7902 | 2006-05-23 |
| Street Address |
2511 GREEN BAY STREET |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-6155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| 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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|---|---|---|---|---|
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| 1245276260 | Barrows Healthmart Pharmacy | Pharmacy | 721 Main, La Crosse, KS 67548 | 2006-06-20 |
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| 1679920698 | Rush County Pharmacy LLC | Pharmacy | 708 Main St, La Crosse, KS 67548 | 2016-05-19 |
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| 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 | ||||
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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.