Organization Active NPI

Stratton Drug Inc

  • Community/Retail Pharmacy
  • Waupaca, WI
National Provider Identifier
1083625586
Registry record updated Jun 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
554342 Issued in WI
Legal business name
STRATTON DRUG INC
Practice address
107 N Main St
Waupaca, WI 54981-1542
Phone
(715) 258-7057
Fax
(715) 258-0428
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2015

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

Authorized official

Name
Richard Kempfert
Title
President
Phone
(715) 258-7057

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 554342 WI Primary

Addresses

Primary practice location

107 N Main St
Waupaca, WI 54981-1542

Mailing address

107 N Main St
Waupaca, WI 54981-1542
Phone (715) 258-7057

Other identifiers 2

IdentifierTypeStateIssuer
33105300MedicaidWI
2113192OtherPK

Other names 1

  • STRATTON DRUG STORE Doing business as

National Provider Directory

National Provider Directory

Locations

107 N Main St
Waupaca, WI 54981
Phone (715) 258-7057

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435363200000",
    "number": "1083625586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N MAIN ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811542",
            "telephone_number": "715-258-7057",
            "fax_number": "715-258-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N MAIN ST",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811542",
            "telephone_number": "715-258-7057",
            "fax_number": "715-258-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATTON DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2015-06-27",
        "status": "A",
        "authorized_official_last_name": "KEMPFERT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-258-7057"
    },
    "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": "554342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33105300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2113192",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STRATTON DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waupaca, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2015; 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.