NPIMap

Organization Active NPI

Pharmacare LTD

Doing business as Colfax Pharmacy

  • Long Term Care Pharmacy
  • Colfax, WI
National Provider Identifier
1003494634
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PHARMACARE LTD
Doing business as
Colfax Pharmacy
Practice address
525 Main St
Colfax, WI 54730-2807
Phone
(715) 962-3784
NPI assigned
Apr 2, 2021
Last updated
Apr 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brandin Henke
Title
Manager
Phone
(715) 833-6770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

525 Main St
Colfax, WI 54730-2807

Mailing address

PO Box 340
Colfax, WI 54730-0340

Other names 1

  • Colfax Pharmacy Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2269414Colfax Pharmacy525 Main St, Colfax, WI 54730Certificate of waiverSep 25, 2026

National Provider Directory

National Provider Directory
Tax ID family
Pharmacare LTD10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1003494634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "COLFAX",
            "state": "WI",
            "postal_code": "547300340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 MAIN ST",
            "city": "COLFAX",
            "state": "WI",
            "postal_code": "547302807",
            "telephone_number": "715-962-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "HENKE",
        "authorized_official_first_name": "BRANDIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "715-833-6770"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colfax Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colfax, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.