GWIDT PHARMACY INC (NPI# 1649501586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649501586 |
| Entity Type | Organization |
| Organization Name | GWIDT PHARMACY INC |
| Other Organization Name | GWIDT PHARMACY |
| Practice Address |
203 E Westgor Ave Suite 1 Wittenberg WI 54499-9174 |
| Mailing Address |
Po Box 253 Wittenberg WI 54499-0253 |
| Practice Telephone | 7152532164 |
| Practice Fax Number | 7152533030 |
| Mailing Telephone | 7152532164 |
| Mailing Fax Number | 7152533030 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2016-08-12 |
| Authorized Official Name | SHANE RESCH (VICE-PRESIDENT) |
| Authorized Official Telephone | 7152532164 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
8989-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2123642 | 01 |
| Other Name | Type Code |
|---|---|
| Gwidt Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174692800 | Gwidt Pharmacy Inc | Pharmacy | 141 Cedar St, Tigerton, WI 54486-0280 | 2006-11-07 |
| 1245319912 | Gwidt Pharmacy Inc | Pharmacy | 323 E Highland Dr, Oconto Falls, WI 54154-1006 | 2006-11-03 |
| 1407861008 | Gwidt Pharmacy Inc | Pharmacy | 203 E Westgor Ave, Wittenberg, WI 54499-9174 | 2006-07-30 |
| Street Address |
203 E WESTGOR AVE SUITE 1 |
| City | WITTENBERG |
| State | WI |
| Zip Code | 54499-9174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407861008 | Gwidt Pharmacy Inc | Pharmacy | 203 E Westgor Ave, Wittenberg, WI 54499-9174 | 2006-07-30 |
| 1578966933 | Shane Resch | Pharmacist | 203 E Westgor Ave, Wittenberg, WI 54499-9174 | 2014-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043746290 | Brittany Anderson | Occupational Therapist | 604 S Webb Street, Wittenberg, WI 54499 | 2017-05-10 |
| 1720478183 | Long Chiropractic Center Sc | Chiropractor | 406 South Howard Street, Wittenberg, WI 54499 | 2015-01-23 |
| 1790060952 | Wittenberg Fire Ambulance Protective Service District | Ambulance | 405 S. Webb St., Wittenberg, WI 54499 | 2011-10-19 |
| 1548334782 | Jeffrey D Below | Chiropractor | 406 S Howard St, Below Chiropractic Center Inc, Wittenberg, WI 54499 | 2006-11-20 |
| 1265400907 | Mark Shannon Milne | Physical Therapist | 105 N Genesee St, Wittenberg, WI 54499 | 2006-03-09 |
| 1659367688 | Roslyn Dee Mckay | Nurse Practitioner | 201 Liberty Drive, Marshfield Clinic-wittenberg Center, Wittenberg, WI 54499 | 2005-09-26 |
| 1851386171 | Village of Wittenberg Dba Wittenberg Area Ambulance Service | Clinic/Center | 405 South Webb Street, Wittenberg, WI 54499 | 2005-09-13 |
| 1770754921 | Bruce A Beversdorf | Dentist | 200 S Cherry St, Wittenberg, WI 54499 | 2008-03-17 |
| 1891871737 | Marshfield Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 201 Liberty Drive, Wittenberg, WI 54499 | 2006-10-31 |
| 1003875444 | Joan D Ostermeier | Physical Therapist | 105 N Genesee St, Wittenberg, WI 54499 | 2006-03-23 |
| Find all providers in zip 54499 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| 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] |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WITTENBERG |
| Zip Code | 54499 |
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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.