BALLWEG FAMILY PHARMACY INC (NPI# 1710916416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710916416 |
| Entity Type | Organization |
| Organization Name | BALLWEG FAMILY PHARMACY INC |
| Other Organization Name | BALLWEG FAMILY PHARMACY |
| Practice Address |
1200 Prairie St Prairie Du Sac WI 53578-2041 |
| Practice Telephone | 6086436500 |
| Practice Fax Number | 6086436533 |
| Mailing Telephone | 6086436500 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | DENNIS BALLWEG (OWNER AND PHARMACIST) |
| Authorized Official Telephone | 6086436500 |
| 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 |
8489-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2110297 | 01 |
| Other Name | Type Code |
|---|---|
| BALLWEG FAMILY PHARMACY | Doing Business As Name - Organization |
| Street Address |
1200 PRAIRIE ST |
| City | PRAIRIE DU SAC |
| State | WI |
| Zip Code | 53578-2041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265785448 | Dennis John Ballweg | Pharmacist | 1200 Prairie St, Prairie Du Sac, WI 53578-2041 | 2012-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437272341 | Christianson Pfau Chiropractic LLC | Chiropractor | 1190 Prairie Street, Prairie Du Sac, WI 53578 | 2007-04-06 |
| 1184665291 | Kerri Michele Lehman | Psychologist | 1190 Prairie St., Prairie Du Sac, WI 53578 | 2006-06-09 |
| 1619933496 | Jennifer Ann Yessa-kast | Social Worker | 560 4th St, Prairie Du Sac, WI 53578 | 2006-04-21 |
| 1598734956 | Eric A Warbasse | Family Medicine | 80 First St, Sauk Prairie Memorial Hospital and Clinics, Prairie Du Sac, WI 53578 | 2006-03-16 |
| 1215959812 | James Franklin Williams | Social Worker | 560 4th St, Pathway Clinic, Prairie Du Sac, WI 53578 | 2006-07-24 |
| 1629035324 | Michael L Hammer | Psychologist | 560 4th St, Pathway Clinic Sc, Prairie Du Sac, WI 53578 | 2006-04-27 |
| 1871550517 | Jean Mcelhaney | Counselor | 560 4th St, Prairie Du Sac, WI 53578 | 2006-04-27 |
| 1407093693 | Mihal Davis | Acupuncturist | 608 Water St, Prairie Du Sac, WI 53578-1027 | 2009-01-09 |
| 1528220472 | Tina Rios | Custodial Care Facility | 601 21st St, Prairie Du Sac, WI 53578-1068 | 2008-07-01 |
| 1124052451 | Raelyn Katherine Eannelli | Nurse Practitioner | 405 Water St, Prairie Du Sac, WI 53578-1126 | 2006-07-11 |
| Find all providers in zip 53578 | ||||
| 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 |
|---|---|---|---|---|
| 1174534671 | E-scripts, Inc | Pharmacy | 405 Water St, Prairie Du Sac, WI 53578-1126 | 2006-08-10 |
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|---|---|---|---|---|
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| 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 | PRAIRIE DU SAC |
| Zip Code | 53578 |
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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.