Allen C Lang

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6494-42 Issued in WI

Legal business name

ALLEN C LANG

Practice address

210 S Main St
Medford, WI 54451-1843

Phone

(715) 748-4477

Fax

(715) 748-5848

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Allen C Lang, R.PH.

Title

Owner/Pharmacist

Phone

(715) 748-4477

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MEDFORD VALU-RITE DRUGS Doing business as

Locations

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1104002674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S MAIN ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511843",
            "telephone_number": "715-748-4477",
            "fax_number": "715-748-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S MAIN ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511843",
            "telephone_number": "715-748-4477",
            "fax_number": "715-748-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN C LANG",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "715-748-4477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "6494-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33040200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDFORD VALU-RITE DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Adams
• Kathleen Rae Alexander, M.S.
• Alexis Fay Anderson, RDH
• Diane M Anderson, FNPC
• Michele Elaine Armbrust, RN, BSN
• Perry A Arndt, O.D.
• Aspirus Doctors Clinic, Inc

• Community/Retail Pharmacy in Medford, WI
• Providers in Medford, 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 Jan 16, 2008; 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.