CROSS PLAINS PHARMACY LLC (NPI# 1528173572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528173572 |
| Entity Type | Organization |
| Organization Name | CROSS PLAINS PHARMACY LLC |
| Other Organization Name | CROSS PLAINS PHARMACY |
| Practice Address |
1840 Main St Cross Plains WI 53528-9473 |
| Mailing Address |
Po Box 215 Cross Plains WI 53528-0215 |
| Practice Telephone | 6087983031 |
| Practice Fax Number | 6087983932 |
| Mailing Telephone | 6087983031 |
| Mailing Fax Number | 6087983932 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2019-01-15 |
| Authorized Official Name | LISA KOSTECKI (CO-OWNER) |
| Authorized Official Telephone | 6087983031 |
| 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 |
829842 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2112693 | 01 | |
| WI | 33268700 | 05 |
| Other Name | Type Code |
|---|---|
| CROSS PLAINS PHARMACY | Doing Business As Name - Organization |
| Street Address |
1840 MAIN ST |
| City | CROSS PLAINS |
| State | WI |
| Zip Code | 53528-9473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205843646 | Lisa Kostecki | Pharmacist | 1840 Main St, Cross Plains, WI 53528-9473 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932366523 | Kay Marie Bille | Speech-Language Pathologist | N 3150 Hwy 81, Pleasant View Nursing Home, Cross Plains, WI 53528 | 2008-05-21 |
| 1306011655 | Mary Beth Johnson | Occupational Therapist | 7880 Serene Court, Cross Plains, WI 53528 | 2008-04-28 |
| 1003824095 | Theresa E Rudy | Licensed Practical Nurse | 8837 Scheele Road, Cross Plains, WI 53528 | 2006-08-04 |
| 1871561936 | Amy R Grelle | Family Medicine | 2418 Brewery Rd, Cross Plains, WI 53528 | 2006-03-14 |
| 1821063736 | Amy Denise Halanski | Pediatrics | 4328 Deer Run Ct, Cross Plains, WI 53528 | 2006-02-22 |
| 1952379034 | Pamela A Olson | Family Medicine | 2418 Brewery Rd, Cross Plains, WI 53528 | 2006-03-14 |
| 1487622973 | Allen D Wilson | Pediatrics | 7966 Maurer Rd, Cross Plains, WI 53528-8801 | 2006-03-09 |
| 1477603371 | Jessica Ann Cooney | Physical Therapist | 1132 Gils Way, Cross Plains, WI 53528-8833 | 2007-01-11 |
| 1407169139 | Kristene Utter | Registered Nurse | 1248 Gils Way, Cross Plains, WI 53528-8834 | 2010-07-22 |
| 1285948869 | Heidi Jean Hargis | Registered Nurse | 1248 Gils Way, Cross Plains, WI 53528-8834 | 2010-08-05 |
| Find all providers in zip 53528 | ||||
| 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 |
|---|---|---|---|---|
| 1750668505 | Rural Pharmacy Solutions | Pharmacy | 109 Ne 2nd St, Cross Plains, TX 76443-2401 | 2011-11-08 |
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| 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 | CROSS PLAINS |
| Zip Code | 53528 |
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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.