MEGS PHARMACY INC (NPI# 1679542062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679542062 |
| Entity Type | Organization |
| Organization Name | MEGS PHARMACY INC |
| Other Organization Name | CRIVITZ PHARMACY |
| Practice Address |
710 Main Ave Crivitz WI 54114-1664 |
| Mailing Address |
Po Box 488 Crivitz WI 54114-0488 |
| Practice Telephone | 7158547425 |
| Practice Fax Number | 7158547326 |
| Mailing Telephone | 7158547425 |
| Mailing Fax Number | 7158547326 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | EZRA GRUSZYNSKI (OWNER PRESIDENT) |
| Authorized Official Telephone | 7158547425 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
852742 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33285100 | 05 | |
| PK | 2114513 | 01 |
| Other Name | Type Code |
|---|---|
| CRIVITZ PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609324045 | Megs Pharmacy Inc | Pharmacy | 1010 Olive Ave., Florence, WI 54121 | 2016-09-14 |
| 1457689705 | Megs Pharmacy Inc | Pharmacy | 825 Main St, Wausaukee, WI 54177-9773 | 2009-11-25 |
| Street Address |
710 MAIN AVE |
| City | CRIVITZ |
| State | WI |
| Zip Code | 54114-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619512456 | Brian William Plucker | Pharmacist | 710 Main Ave, Crivitz, WI 54114-1664 | 2019-11-15 |
| 1427397207 | Ezra Gruszynski | Pharmacist | 710 Main Ave, Crivitz, WI 54114-1664 | 2013-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548437155 | Crivitz Medical Center | Family Medicine | 213 S Hwy 141, Crivitz, WI 54114 | 2008-05-13 |
| 1306200472 | Kellen Blanck-grott | Chiropractor | 709 Dyer St, Crivitz, WI 54114 | 2016-04-05 |
| 1306048822 | Glen R Ledvina | Chiropractor | 107 N Highway 141, Crivitz, WI 54114-0008 | 2007-06-05 |
| 1306063185 | Newcare Inc | Physical Therapist | 903 Main Avenue, Crivitz, WI 54114-0460 | 2007-04-20 |
| 1700984374 | Kevin J Pepin | Dentist | 302 Hall Avenue, Crivitz, WI 54114-1442 | 2006-09-20 |
| 1780637595 | The Crivitz Rescue Squad, Inc | Ambulance | 1020 Henriette Ave, Crivitz, WI 54114-1536 | 2006-05-19 |
| 1720410038 | Virginia L Deschane | Registered Nurse | 602 Lulu Ave, Crivitz, WI 54114-1584 | 2013-08-08 |
| 1659878122 | Erin Marie Rill | Registered Nurse | 602 Lulu Ave, Crivitz, WI 54114-1584 | 2018-04-10 |
| 1467574236 | New Care, Inc. | Skilled Nursing Facility | 903 Main Ave, Crivitz, WI 54114-1619 | 2007-04-04 |
| 1861793622 | Chassie Le Olson | Physical Therapy Assistant | 903 Main Ave, Crivitz, WI 54114-1619 | 2010-11-10 |
| Find all providers in zip 54114 | ||||
| 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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| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1558906354 | Life Change Rx 4 LLC | Pharmacy | 6300 N 76th St Ste 246, Milwaukee, WI 53218-1208 | 2019-11-15 |
| 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 | ||||
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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.