MC 5 INC


Address: 1173 W Main St, Ste F, Whitewater, WI 53190-1672
Phone: 2624735087

MC 5 INC (NPI# 1437313384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437313384
Entity Type Organization
Organization Name MC 5 INC
Other Organization Name MCCULLOUGH'S LTC PHARMACY
Practice Address 1173 W Main St
Ste F
Whitewater
WI 53190-1672
Practice Telephone 2624735087
Practice Fax Number 2624737357
Mailing Telephone 2624735087
Mailing Fax Number 2624737357
Enumeration Date 2008-07-10
Last Update Date 2019-08-21
Authorized Official Name ROBERT MCCULLOUGH (PRESIDENT)
Authorized Official Telephone 2624735087
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
885142 WI Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2116684 01

Other Provider/Organization Names

Other Name Type Code
MCCULLOUGH'S LTC PHARMACY Doing Business As Name - Organization

Office Location

Street Address 1173 W MAIN ST
STE F
City WHITEWATER
State WI
Zip Code 53190-1672

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386610046 Jason J Mackey Chiropractor 1173 W Main St, Whitewater, WI 53190-1672 2006-02-23
1609413061 Marci A Rueter Pharmacist 1173 W Main St, Whitewater, WI 53190-1672 2019-12-04
1063065175 Chrysalis Psychotherapy Clinic/Center 1173 W Main St, Whitewater, WI 53190-1672 2019-07-17
1679125587 Julie Mccalip Social Worker 1173 W Main St, Whitewater, WI 53190-1672 2019-07-10
1730745191 Alana Elsie Everson Pharmacist 1173 W Main St, Whitewater, WI 53190-1672 2019-05-11
1578808002 Sara Hathaway Pharmacist 1173 W Main St, Whitewater, WI 53190-1672 2012-12-10
1740490739 Robert Mccullough Pharmacist 1173 W Main St, Whitewater, WI 53190-1672 2007-05-22
1740359736 John Schaaf Sheldon Pharmacist 1173 W Main St, Whitewater, WI 53190-1672 2006-11-06
1093824880 Mc5 Inc Pharmacy 1173 W Main St, Whitewater, WI 53190-1672 2006-08-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962908608 Shannon Bashor Specialist/Technologist 907 W Schwager Dr, Whitewater, WI 53190 2018-04-02
1922542695 Terry Teipner Counselor 1173 W Main St Ste B, Whitewater, WI 53190 2016-12-14
1063800100 Courtney Stefanski Specialist/Technologist 900 Schwager Drive, Whitewater, WI 53190 2014-12-23
1275942989 Courtney Palubicki Specialist/Technologist 907 W. Schwager Drive, Whitewater, WI 53190 2014-08-06
1548491087 Ann Marie Welch Registered Nurse 9640 N. County Line Rd, Whitewater, WI 53190 2009-07-31
1780801423 Marsha Lee Mckinnon Registered Nurse 710 Starin Road, Whitewater, WI 53190 2007-04-20
1164599387 Michael J Kellum Emergency Medicine W9575 Homburg Lane, Whitewater, WI 53190 2006-11-30
1861596371 Brian William Veale Chiropractor 543 S Putnam St, Whitewater, WI 53190 2006-09-13
1629508908 Erin Kae Clark Specialist/Technologist 800 W Main St, Williams Center 105g, Whitewater, WI 53190 2017-06-19
1952854150 Rebecca K Hamman Nurse Practitioner 710 W Starin Rd, Whitewater, WI 53190 2016-07-25
Find all providers in zip 53190

Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922646579 Medical Health Pharmacy LLC Pharmacy 8845 S Greenview Dr Ste 1, Middleton, WI 53562-2562 2019-12-13
1124665336 Ltc Pharmacy Services, LLC Pharmacy 11739 W Bradley Rd, Milwaukee, WI 53224 2019-12-06
1487205944 Hayat Pharmacy 20 LLC Pharmacy 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 2019-09-26
1568015022 T A Solberg Co Inc Pharmacy 232 S Courtney St Stop 3, Rhinelander, WI 54501-3308 2019-07-23
1932679081 Janesville Hometown Pharmacy LLC Pharmacy 21 S Jackson St Ste 100, Janesville, WI 53548-3859 2018-12-03
1902371107 Salvanz Enterprises Inc Pharmacy 2673 Lineville Rd, Green Bay, WI 54313-7124 2018-10-04
1962999805 Guardian Pharmacy of Madison, LLC Pharmacy N85 W15882 Appleton Ave, Menomonee Falls, WI 53051-3082 2018-04-17
1164932091 Mabie Pharmacy, LLC Pharmacy 10 Liberty St # 106, Deerfield, WI 53531-9458 2017-10-05
1487101754 Evergreen Pharmacy LLC Pharmacy 10101 W Greenfield Ave, West Allis, WI 53214-3953 2016-09-05
1639548142 Lynja Inc Pharmacy 3215 8th St S Ste 101, Wisconsin Rapids, WI 54494-6564 2015-09-15
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Competitor

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City WHITEWATER
Zip Code 53190

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Dataset Information

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.

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