Field Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

8063-42 Issued in WI

Legal business name

FIELD PHARMACY LLC

Doing business as

Field Pharmacy LLC

Practice address

135 W Huron St
Berlin, WI 54923-1596

Phone

(920) 361-1565

Fax

(920) 361-1582

NPI assigned

Oct 26, 2006

Last updated

Nov 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Buttke, RPHNPI 1669798088

Title

Owner

Phone

(920) 361-1565

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FIELD PHARMACY LLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason H Buttke, RPH

  • Pharmacist
  • Ripon, WI
  • NPI 1669798088
  NPD (past) Authorized official
• Benjamin Field, DPH

  • Pharmacist
  • Berlin, WI
  • NPI 1497071807
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1013092303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W HURON ST",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231596",
            "telephone_number": "920-361-1565",
            "fax_number": "920-361-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W HURON ST",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231596",
            "telephone_number": "920-361-1565",
            "fax_number": "920-361-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "BUTTKE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-361-1565",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "8063-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111899",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33095200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIELD PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary A. Eggert, D.D.S.
• Emily T Engelke, CD
• Evergreen Home of Berlin, Inc.
• Evergreen Pines Inc
• Jason Lee Fairweather, LPC, SACIT, CSIT
• Benjamin Field, DPH
• Andrea Kae Fitzgerald, PTA
• Jason Flynn, PHARMD
• Fox River Dental Associates SC
• Fox Valley Hematology & Oncology, S.C.

• Community/Retail Pharmacy in Berlin, WI
• Providers in Berlin, 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 Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.