FRITSCH'S CORNER DRUG STORE, INC. (NPI# 1821346669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821346669 |
| Entity Type | Organization |
| Organization Name | FRITSCH'S CORNER DRUG STORE, INC. |
| Other Organization Name | CORNER DRUG CLINIC PHARMACY |
| Practice Address |
1700 Tuttle St Ste 300 Baraboo WI 53913-3319 |
| Mailing Address |
333 Lowville Rd Rio WI 53960-9437 |
| Practice Telephone | 6083566966 |
| Practice Fax Number | 6083550830 |
| Mailing Telephone | 9209926800 |
| Mailing Fax Number | 9209926801 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | DANIEL STRAUSE (CEO) |
| Authorized Official Telephone | 9209926800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
9149-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2137136 | 01 | |
| WI | 1821346669 | 05 | |
| WI | 100025417 | 05 |
| Other Name | Type Code |
|---|---|
| Corner Drug Clinic Pharmacy | Doing Business As Name - Organization |
| Street Address |
1700 TUTTLE ST STE 300 |
| City | BARABOO |
| State | WI |
| Zip Code | 53913-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972580512 | Debra M. Nyquist | Family Medicine | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2005-12-26 |
| 1336778273 | Jeffrey Daniels | Student in an Organized Health Care Education/Training Program | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2020-04-03 |
| 1184253049 | Andrea Kratzke Nelson | Student in an Organized Health Care Education/Training Program | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2020-04-03 |
| 1316409196 | Jack M Massee | Student in an Organized Health Care Education/Training Program | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2019-04-02 |
| 1811459605 | Jamie R Petzke | Student in an Organized Health Care Education/Training Program | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2019-04-02 |
| 1447757323 | Sarah Schaaf | Student in an Organized Health Care Education/Training Program | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2018-04-09 |
| 1790297703 | Angela S Lothe | Nurse Practitioner | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2017-10-31 |
| 1265969711 | Jessica R. Miller | Family Medicine | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2017-05-16 |
| 1770029985 | Gurinderpreet S Ghuman | Physician Assistant | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2017-01-11 |
| 1942743661 | Bailey R Haas | Physician Assistant | 1700 Tuttle St, Baraboo, WI 53913-3319 | 2016-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
| 1467088336 | Malerie Catherine Kurt | Physical Therapist | 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 | 2020-03-23 |
| 1639718174 | Gwendolynn Sue Doyle | Physical Therapy Assistant | 1414 Jefferson Street, Baraboo, WI 53913 | 2020-01-02 |
| 1922572320 | Karen L Elsby | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 | 2019-01-18 |
| 1952874281 | Cheryl Millard | Social Worker | Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 | 2019-01-09 |
| 1427536598 | Daniel Robert Tokarczyk | Hearing Instrument Specialist | 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 | 2018-08-01 |
| 1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
| 1003351834 | Jason Welch | Hearing Instrument Specialist | 622 State Rd 136, Baraboo, WI 53913 | 2017-01-03 |
| 1376947820 | Affordable Medfical Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 | 2014-10-13 |
| 1609179134 | Barbara Ostrowski | Registered Nurse | 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2010-12-06 |
| Find all providers in zip 53913 | ||||
| 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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| 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.