Smartscript Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

9267-42 Issued in WI

Legal business name

SMARTSCRIPT PHARMACY LLC

Doing business as

SmartScript Pharmacy

Practice address

4041 State Road 91 Ste B
Oshkosh, WI 54904-9218

Phone

(844) 476-2781

Fax

(844) 245-7075

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Dan Leben, BUSINESS

Title

Owner

Phone

(844) 476-2781

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• SmartScript Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Luedtke, R.PH.

  • Pharmacist
  • Oshkosh, WI
  • NPI 1114162054
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1104026343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 STATE ROAD 91 STE B",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549049218",
            "telephone_number": "844-476-2781",
            "fax_number": "844-245-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 STATE ROAD 91 STE B",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549049218",
            "telephone_number": "844-476-2781",
            "fax_number": "844-245-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMARTSCRIPT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "LEBEN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-476-2781",
        "authorized_official_credential": "BUSINESS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WI",
            "license": "9267-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146187",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100058597",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmartScript Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca L Sirna, DNP, APNP, FNP-BC
• Lize Slabbert
• Michael Robert Slaminski, P.T.
• Danielle Nicole Slinger
• Renee H. Slusarski
• Rosanne Smerling, B.S.
• Eric A Smiltneek, MD
• Christie L Smiskey
• Morgan Ashley Smith-Davis, APSW
• Brianna Elizabeth Smith

• Compounding Pharmacy in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Compounding Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.