Mount Horeb Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

835442 Issued in WI

Legal business name

MOUNT HOREB FAMILY PHARMACY LLC

Practice address

203 W Main St
Mount Horeb, WI 53572-1914

Phone

(608) 437-3001

Fax

(608) 437-6480

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Weiland

Title

Business Manager/Owner

Phone

(608) 437-3001

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Mount Horeb Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mount Horeb Family Pharmacy LLC

  • Clinic Pharmacy
  • Mount Horeb, WI
  • NPI 1235924291

  6709273162

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mount Horeb Family Pharmacy LLC

  • Clinic Pharmacy
  • Mount Horeb, WI
  • NPI 1235924291

  O20220504000047

  Same enrollment

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1003914045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W MAIN ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535721914",
            "telephone_number": "608-437-3001",
            "fax_number": "608-437-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W MAIN ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535721914",
            "telephone_number": "608-437-3001",
            "fax_number": "608-437-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT HOREB FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "WEILAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BUSINESS MANAGER/OWNER",
        "authorized_official_telephone_number": "608-437-3001"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "835442",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2112892",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K300846024",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33271700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Horeb Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Elsia McLean
• Kyle Devin Miner
• Mount Horeb Area Fire District
• Mount Horeb Area School District
• Mount Horeb Counseling LLC
• Mount Horeb Family Pharmacy LLC
• Mount Horeb Family Pharmacy LLC
• Mount Horeb Family Pharmacy LLC
• Mt Horeb Dental
• Morgan Nagel, FNP-C

• Community/Retail Pharmacy in Mount Horeb, WI
• Providers in Mount Horeb, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.