MONROE HOMETOWN PHARMACY WEST LLC (NPI# 1871059626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871059626 |
Entity Type | Organization |
Organization Name | MONROE HOMETOWN PHARMACY WEST LLC |
Other Organization Name | MONROE HOMETOWN PHARMACY WEST |
Practice Address |
131 W 7th St Unit B Monroe WI 53566-3716 |
Mailing Address |
333 Lowville Rd Rio WI 53960-9437 |
Practice Telephone | 6084266540 |
Practice Fax Number | 6084266561 |
Mailing Telephone | 9209926800 |
Enumeration Date | 2019-02-18 |
Last Update Date | 2019-04-04 |
Authorized Official Name | DIANE DEANS (CONTRACTING SPECIALIST) |
Authorized Official Telephone | 9209926800 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 100086153 | 05 |
Other Name | Type Code |
---|---|
Monroe Hometown Pharmacy West | Doing Business As Name - Organization |
Street Address |
131 W 7TH ST UNIT B |
City | MONROE |
State | WI |
Zip Code | 53566-3716 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548752967 | Mariah Mohns | Occupational Therapy Assistant | N3150 Wi- 81, Monroe, WI 53566 | 2018-06-01 |
1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
1508306283 | Hilary Domke | Occupational Therapist | N3150 Wi-81, Monroe, WI 53566 | 2017-03-01 |
1699132332 | Lisa Marty | Social Worker | N3152 Wi-81, Monroe, WI 53566 | 2016-01-26 |
1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
1033482799 | Amber Gatdula | Physical Therapy Assistant | 2628 14th Street, Monroe, WI 53566 | 2012-02-10 |
1629361043 | Tammy Noble | Licensed Practical Nurse | N2546 Ullom Rd., Monroe, WI 53566 | 2011-05-18 |
1023331683 | Kristine Hudson | Registered Nurse | 1110 11th Street, Monroe, WI 53566 | 2010-03-10 |
1306005012 | Rosemary Ann Graham | Registered Nurse | 2413 5th Ave, Monroe, WI 53566 | 2008-06-06 |
1174702559 | Kelly Jo Jenson | Chiropractor | 1518 11th Street, Suite 1-2, Monroe, WI 53566 | 2007-11-01 |
Find all providers in zip 53566 |
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 |
---|---|---|---|---|
1649899915 | Tammy Lynn Berry | Pharmacy | 5075 Stewart Rd, Monroe, MI 48162-9633 | 2020-04-15 |
1508381658 | Walgreen Co | Pharmacy | 7900 Desiard St, Monroe, LA 71203-4936 | 2017-08-10 |
1033592514 | Brookshire Grocery Company | Pharmacy | 1801 N 18th St, Monroe, LA 71201-4401 | 2015-07-02 |
1265835946 | Wal-mart Stores East Lp | Pharmacy | 4430 Desiard St, Monroe, LA 71203-4532 | 2014-10-08 |
1235532045 | Wal-mart Stores East, Lp | Pharmacy | 1840 Mckeen Pl, Monroe, LA 71201-4465 | 2014-10-07 |
1962661082 | Walgreen Co | Pharmacy | 717 8th Ave, Monroe, WI 53566-4000 | 2008-06-04 |
1083736383 | St George Pharmacy LLC | Pharmacy | 557 Englishtown Rd, Ste 14, Monroe, NJ 08831-3042 | 2007-04-06 |
1538268883 | Eckerd Corporation | Pharmacy | 2 Lakes Rd, Monroe, NY 10950-2616 | 2006-09-22 |
1013012863 | Connecticut Cvs Pharmacy, L.L.C. | Pharmacy | 511 Monroe Turnpike, Monroe, CT 06468-2386 | 2006-09-14 |
1447354386 | Louisiana Cvs Pharmacy, L.L.C. | Pharmacy | 2901 Sterlington Rd, Monroe, LA 71203-2513 | 2006-09-12 |
Find all providers in MONROE |
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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.