KCJE FORD INC (NPI# 1578587606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578587606 |
| Entity Type | Organization |
| Organization Name | KCJE FORD INC |
| Other Organization Name | CASS STREET PHARMACY |
| Practice Address |
528 Cass St La Crosse WI 54601-4507 |
| Practice Telephone | 6087849922 |
| Practice Fax Number | 6087842212 |
| Mailing Telephone | 6087849922 |
| Mailing Fax Number | 6087842212 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-05-10 |
| Authorized Official Name | KENNETH FORD (OWNER) |
| Authorized Official Telephone | 6087849922 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 8293-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 395760800 | 05 | |
| PK | 2115062 | 01 | |
| WI | 33165900 | 05 |
| Other Name | Type Code |
|---|---|
| Cass Street Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679801807 | Kcje Ford Inc | Pharmacy | 505 King St Ste 154, La Crosse, WI 54601-4062 | 2009-11-30 |
| Street Address |
528 CASS ST |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841740891 | Kassandra Weber | Pharmacist | 528 Cass St, La Crosse, WI 54601-4507 | 2016-10-13 |
| 1548710627 | Gundersen Clinic Ltd | Pharmacy | 528 Cass St, La Crosse, WI 54601-4507 | 2016-10-12 |
| 1023441805 | Rachel J Arfstrom | Pharmacist | 528 Cass St, La Crosse, WI 54601-4507 | 2013-08-15 |
| 1760736037 | Lacey Marie David | Pharmacist | 528 Cass St, La Crosse, WI 54601-4507 | 2012-11-07 |
| 1740535822 | Rebecca Ruth Hansen | Pharmacist | 528 Cass St, La Crosse, WI 54601-4507 | 2012-07-16 |
| 1801052295 | Jessie Bawek | Pharmacist | 528 Cass St, La Crosse, WI 54601-4507 | 2008-08-05 |
| 1275710618 | Stephanie Ann Belling | Pharmacist | 528 Cass St, La Crosse, WI 54601-4507 | 2008-01-29 |
| 1609880848 | Kenneth Wayne Ford | Pharmacist | 528 Cass St, La Crosse, WI 54601-4507 | 2006-07-27 |
| 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 | 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 |
|---|---|---|---|---|
| 1184276917 | St. Clare Health Mission Pharmacy | Pharmacy | 916 Ferry St, La Crosse, WI 54601-4717 | 2019-07-11 |
| 1679801807 | Kcje Ford Inc | Pharmacy | 505 King St Ste 154, La Crosse, WI 54601-4062 | 2009-11-30 |
| 1780781526 | Quillins Quality Inc | Pharmacy | 3954 Mormon Coulee Rd, La Crosse, WI 54601-7916 | 2006-09-20 |
| 1215948864 | Mpl Inc | Pharmacy | 1907 West Ave S, La Crosse, WI 54601-6206 | 2006-08-10 |
| 1790731438 | Shopko Stores Operating Co LLC | Pharmacy | 2400 Rose St, La Crosse, WI 54603-1612 | 2006-05-25 |
| 1174509046 | Mayo Clinic Health System - Franciscan Medical Center, Inc. | Pharmacy | 800 West Ave S Ste 101, La Crosse, WI 54601-8806 | 2005-12-21 |
| 1245705441 | Gundersen Clinic Ltd | Pharmacy | 2511 Green Bay St, La Crosse, WI 54601-5900 | 2018-10-04 |
| 1548710627 | Gundersen Clinic Ltd | Pharmacy | 528 Cass St, La Crosse, WI 54601-4507 | 2016-10-12 |
| 1699225474 | Gundersen Clinic Ltd | Pharmacy | 505 King St Ste 154, La Crosse, WI 54601-4062 | 2016-10-05 |
| 1083870638 | Hoyt Pharmacy Inc | Pharmacy | 708 Main St, La Crosse, KS 67548 | 2008-08-04 |
| Find all providers in LA CROSSE | ||||
Please comment or provide details below to improve the information on KCJE FORD INC.
| 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.