Village Bake Shop Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

7708-42 Issued in WI

Legal business name

VILLAGE BAKE SHOP INC

Doing business as

QUILLINS MAJOR DRUG

Practice address

3954 Mormon Coulee Rd
La Crosse, WI 54601-7916

Phone

(608) 784-6200

Fax

(608) 784-3808

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

James Berg, RPH

Title

Head Pharmacist

Phone

(608) 784-6200

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• QUILLINS MAJOR DRUG Doing business as

Locations

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1073606406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3954 MORMON COULEE RD",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546017916",
            "telephone_number": "608-784-6200",
            "fax_number": "608-784-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3954 MORMON COULEE RD",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546017916",
            "telephone_number": "608-784-6200",
            "fax_number": "608-784-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE BAKE SHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "HEAD PHARMACIST",
        "authorized_official_telephone_number": "608-784-6200",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "7708-42",
            "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": "33060500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5104687",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "636560400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUILLINS MAJOR DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Viaro LLC
• Viaro Professional Arts LTD Health Care
• Linda K Vielhuber, COTA
• Pauline Vienne-Jordan, PA-C
• Hari Thambiah Vigneswaran
• Anthony Daniel Villare, D.O.
• Alexander M. Villareal, M.D.
• Jennifer Catherine Viner, CNM
• Jessie Jo Viner, RN
• Rodelino R Virata, MD

• Community/Retail Pharmacy in La Crosse, WI
• Providers in La Crosse, 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 May 19, 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.

Verify at the official NPI Registry.