Active NPI
Falks Woodland Pharmacy Inc
Doing business as Falks Lignell Pharmacy
- Community/Retail Pharmacy
- Superior, WI
National Provider Identifier
1013991223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 760742
- Legal business name
- FALKS WOODLAND PHARMACY INC
- Doing business as
- Falks Lignell Pharmacy
- Practice address
- 69 N 28TH St E
Ste 36
Superior, WI 54880-6596 - Phone
- (715) 392-4722
- Fax
- (715) 395-2204
- NPI assigned
- Dec 1, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Preston, RPH
- Title
- Owner
- Phone
- (218) 525-9850
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 760742 | WI | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
69 N 28TH St E
Ste 36
Superior, WI 54880-6596
Mailing address
1 E Calvary Rd
Duluth, MN 55803-1514
Phone (218) 740-4562
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5123144 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 33215500 | Medicaid | WI |
Other names 1
- FALKS LIGNELL PHARMACY
National Provider Directory
National Provider DirectoryLocations
69 N 28th St E
Ste 36
Superior, WI 54880
Phone (715) 392-4722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285632000000",
"number": "1013991223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 E CALVARY RD",
"city": "DULUTH",
"state": "MN",
"postal_code": "558031514",
"telephone_number": "218-740-4562",
"fax_number": "218-728-9124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 N 28TH ST E",
"address_2": "STE 36",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548806596",
"telephone_number": "715-392-4722",
"fax_number": "715-395-2204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FALKS WOODLAND PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-01",
"last_updated": "2010-09-28",
"status": "A",
"authorized_official_last_name": "PRESTON",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "218-525-9850",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WI",
"license": "760742",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5123144",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33215500",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FALKS LIGNELL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Superior, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.