NPIMap

Organization Active NPI

St Clare Memorial Hospital, Inc.

Doing business as HSHS Community Pharmacy - Oconto Falls

  • Institutional Pharmacy
  • Oconto Falls, WI
National Provider Identifier
1073536967
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
5339042 Issued in WI
Legal business name
ST CLARE MEMORIAL HOSPITAL, INC.
Doing business as
HSHS Community Pharmacy - Oconto Falls
St Clare Memorial Hospital Pharmacy
Practice address
855 S Main St
Oconto Falls, WI 54154-1241
Phone
(920) 846-3444
Fax
(920) 846-4589
NPI assigned
Jul 25, 2006
Last updated
Oct 26, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST CLARE MEMORIAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Authorized official

Name
Travis Pitzen
Title
Market Director-Finance Operations
Phone
(920) 431-3047

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Institutional Pharmacy 3336I0012X 5339042 WI Primary

Addresses

Primary practice location

855 S Main St
Oconto Falls, WI 54154-1241

Mailing address

855 S Main St
Oconto Falls, WI 54154-1241
Phone (920) 846-3444

Other names 2

  • HSHS Community Pharmacy - Oconto Falls Doing business as
  • St Clare Memorial Hospital Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address community_memorial_hospital_transitions_of_care2201223@ewd.direct.hshs.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160718001103 WI Part B Supplier - Mass Immunization (Roster Biller Only) 0446211395 Practice locations: Oconto Falls, WI

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Tax ID family
St Clare Memorial Hospital16 organizations share this tax ID, including this one
Part of
St Clare Memorial Hospital

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Practitioners & affiliated clinicians

Practitioners 62

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.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792972800000",
    "number": "1073536967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S MAIN ST",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541241",
            "telephone_number": "920-846-3444",
            "fax_number": "920-846-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S MAIN ST",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541241",
            "telephone_number": "920-846-3444",
            "fax_number": "920-846-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLARE MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST CLARE MEMORIAL HOSPITAL, INC.",
        "enumeration_date": "2006-07-25",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A",
        "authorized_official_last_name": "PITZEN",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "MARKET DIRECTOR-FINANCE OPERATIONS",
        "authorized_official_telephone_number": "920-431-3047"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "WI",
            "license": "5339042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "community_memorial_hospital_transitions_of_care2201223@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "855 S Main St",
            "city": "Oconto Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541541241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HSHS Community Pharmacy - Oconto Falls",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Clare Memorial Hospital Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oconto Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.