Marinette-Menominee Prescription Center LTD

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

9392-42 Issued in WI

Legal business name

MARINETTE-MENOMINEE PRESCRIPTION CENTER LTD

Doing business as

ValuCare Long Term Care

Practice address

1378 Main St
Marinette, WI 54143-2425

Phone

(715) 732-0717

Fax

(715) 732-0596

NPI assigned

Feb 23, 2018

Organization subpart

No

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

Authorized official

Name

Stephen Wilke, B.S. PHARMACY

Title

President/Pic

Phone

(715) 732-0717

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ValuCare Long Term Care Doing business as

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1093216285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1378 MAIN ST",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541432425",
            "telephone_number": "715-732-0717",
            "fax_number": "715-732-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1378 MAIN ST",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541432425",
            "telephone_number": "715-732-0717",
            "fax_number": "715-732-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINETTE-MENOMINEE PRESCRIPTION CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2025-09-19",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "WILKE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "715-732-0717",
        "authorized_official_credential": "B.S. PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "9392-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176150",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33114900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ValuCare Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elwyn C Mantei, MD
• Marinette County Health & Human Services
• Marinette County Health and Human Services
• Marinette Menominee Prescription Center LTD (Valucare Center Health Mart Pharmacy)
• Marinette School District
• Lynette Mary Marklein, PT, DPT, ATC
• Anthony R Mars, MD
• Edgar J Massabni, MD
• Michael G Massee, MD
• Amandeep Matharu

• Long Term Care Pharmacy in Marinette, WI
• Providers in Marinette, WI by specialty
• Long Term Care Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.