Active NPI
Stratton Drug Inc
- Community/Retail Pharmacy
- Waupaca, WI
National Provider Identifier
1083625586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 554342
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33105300 | Medicaid | WI | |
| 2113192 | Other | PK |
Other names 1
- STRATTON DRUG STORE
National Provider Directory
National Provider DirectoryLocations
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.