MAPLEWOOD OF SAUK PRAIRIE (NPI# 1821081936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821081936 |
| Entity Type | Organization |
| Organization Name | MAPLEWOOD OF SAUK PRAIRIE |
| Other Organization Name | MAPLEWOOD OF SAUK PRAIRIE |
| Practice Address |
245 Sycamore Steet Sauk City WI 53583 |
| Practice Telephone | 6086449265 |
| Practice Fax Number | 6086432629 |
| Mailing Telephone | 6086449265 |
| Mailing Fax Number | 6086432629 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2018-10-24 |
| Authorized Official Name | MR. RICHARD CARL HARRIS (STAFF PHARMACIST) |
| Authorized Official Telephone | 6086449265 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33204100 | 05 | |
| PK | 2113946 | 01 |
| Other Name | Type Code |
|---|---|
| MAPLEWOOD OF SAUK PRAIRIE | Doing Business As Name - Organization |
| Street Address |
245 SYCAMORE STEET |
| City | SAUK CITY |
| State | WI |
| Zip Code | 53583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912109794 | Patricia L Lohr | Nurse Practitioner | 9437 Cty Rd Y, Sauk City, WI 53583 | 2007-06-04 |
| 1508947185 | Sauk City Pharmacy Inc | Pharmacy | 830 Water St, Sauk City, WI 53583 | 2006-10-18 |
| 1578519336 | Mindy Shafer Weigel | Recreation Therapist | 560 Pathway Clinic, Prairie Du Sac, WI 53583 | 2006-05-25 |
| 1235187444 | Kilian Chiropractic Sc | Chiropractor | 515 Phillips Blvd, Sauk City, WI 53583 | 2006-05-04 |
| 1407060791 | Prairie Clinic Sc | Durable Medical Equipment & Medical Supplies | 112 Helen St, Sauk City, WI 53583 | 2007-05-09 |
| 1063418747 | Nursing Homes Inc. | Skilled Nursing Facility | 245 Sycamore St, Sauk City, WI 53583-1013 | 2005-06-27 |
| 1588218317 | Carl Hatfield | Physical Therapy Assistant | 245 Sycamore St, Sauk City, WI 53583-1013 | 2019-07-30 |
| 1073175113 | Sarah Olson | Speech-Language Pathologist | 245 Sycamore St, Sauk City, WI 53583-1013 | 2019-06-28 |
| 1629531496 | Carl Oliver | Occupational Therapist | 245 Sycamore St, Sauk City, WI 53583-1013 | 2019-04-09 |
| 1922565878 | Marisa Burke | Occupational Therapy Assistant | 245 Sycamore St, Sauk City, WI 53583-1013 | 2019-02-27 |
| Find all providers in zip 53583 | ||||
| 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 | ||||
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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.