Wanzek Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WANZEK PHARMACY INC

Practice address

12 W Main St
Madelia, MN 56062-1438

Phone

(507) 642-3218

Fax

(507) 642-8651

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Dennis J Wanzek

Title

Owner

Phone

(507) 642-3218

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1073528667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W MAIN ST",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560621438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W MAIN ST",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560621438",
            "telephone_number": "507-642-3218",
            "fax_number": "507-642-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANZEK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "WANZEK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-642-3218"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "2606635",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182557700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2402941",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stepping Stones Mental Health Center, LLC
• Stephanie Marie Swam, DMD
• Haley Lea Thomas, LDH ADT
• Dirk R Thompson, MD
• Tammy Ulmen, LMFT
• Dennis Wanzek
• Alyce Mirinda Zimmerman, OTR/L

• Community/Retail Pharmacy in Madelia, MN
• Providers in Madelia, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.