NPIMap

Organization Active NPI

O Connell Pharmacy LTD

Doing business as O'Connell Pharmacy Long Term Care

  • Long Term Care Pharmacy
  • Sun Prairie, WI
National Provider Identifier
1063781920
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
9103-42 Issued in WI
Legal business name
O CONNELL PHARMACY LTD
Doing business as
O'Connell Pharmacy Long Term Care
Practice address
125 S Thompson Rd
Sun Prairie, WI 53590-2526
Phone
(608) 837-8002
Fax
(608) 478-3900
NPI assigned
Dec 22, 2011
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Michelle O'Connell
Title
Owner
Phone
(608) 837-5949

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Clinical Medical Laboratory 291U00000X
Long Term Care Pharmacy 3336L0003X 9103-42 WI Primary

Addresses

Primary practice location

125 S Thompson Rd
Sun Prairie, WI 53590-2526

Mailing address

302 S Grand Ave
Sun Prairie, WI 53590-9827
Phone (608) 837-8002

Other names 1

  • O'Connell Pharmacy Long Term Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160520000118 WI Part B Supplier - Mass Immunization (Roster Biller Only) 7810993425 Practice locations: Sun Prairie, WI

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Locations

1110 W Main St
Sun Prairie, WI 53590
Phone (608) 837-5949

125 S Thompson Rd
Sun Prairie, WI 53590
Phone (608) 837-8002

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1063781920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S GRAND AVE",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535909827",
            "telephone_number": "608-837-8002",
            "fax_number": "608-478-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S THOMPSON RD",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902526",
            "telephone_number": "608-837-8002",
            "fax_number": "608-478-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O CONNELL PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-837-5949"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "9103-42",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "O'Connell Pharmacy Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "O'Connell Pharmacy Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.