WAUSAUKEE PHARMACY INC (NPI# 1790013076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790013076 |
| Entity Type | Organization |
| Organization Name | WAUSAUKEE PHARMACY INC |
| Other Organization Name | WAUSAUKEE HEALTHMART PHARMACY |
| Practice Address |
703 Main St Ste 2 Wausaukee WI 54177 |
| Mailing Address |
703 Main St Po Box 346 Wausaukee WI 54177 |
| Practice Telephone | 7158565455 |
| Practice Fax Number | 7158565451 |
| Mailing Telephone | 7158565455 |
| Mailing Fax Number | 7158565451 |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-11-25 |
| Authorized Official Name | MR. JEFFREY D HINES (OWNER) |
| Authorized Official Telephone | 7158565455 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
8961-042 | WI | Suppliers |
| Other Name | Type Code |
|---|---|
| Wausaukee HealthMart Pharmacy | Doing Business As Name - Organization |
| Street Address |
703 MAIN ST STE 2 |
| City | WAUSAUKEE |
| State | WI |
| Zip Code | 54177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033389283 | David Moss | Registered Nurse | 308 Harrison Ave, Wausaukee, WI 54177 | 2008-03-04 |
| 1235307612 | Wausaukee Rescue Squad, Inc. | Ambulance | 429 Harrison Ave., Wausaukee, WI 54177 | 2008-02-19 |
| 1326184326 | Diane Sharon Runge | Licensed Practical Nurse | W6849 Creek Rd, Wausaukee, WI 54177-8956 | 2007-01-29 |
| 1154501773 | Vicky M. Plas | Registered Nurse | N9129 Just Rd, Wausaukee, WI 54177-9037 | 2007-11-12 |
| 1245403583 | Wausaukee School District | Local Education Agency (LEA) | N11941 Us Highway 141, Wausaukee, WI 54177-9300 | 2008-04-08 |
| 1699719310 | Dickinson County Healthcare System | Family Medicine | 536 Kenny Dr, Wausaukee, WI 54177-9627 | 2006-06-15 |
| 1063901858 | Bellin Health Iron Mountain Inc | Family Medicine | 536 Kenny Dr, Wausaukee, WI 54177-9627 | 2018-05-07 |
| 1457689705 | Megs Pharmacy Inc | Pharmacy | 825 Main St, Wausaukee, WI 54177-9773 | 2009-11-25 |
| 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 |
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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.