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Ascension Wisconsin Pharmacy, Inc

Organization Active NPI Community/Retail Pharmacy · Rhinelander, WI

NPI 1104305085 · NPPES record last updated Sep 3, 2019

Key facts

NPI
1104305085
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
ASCENSION WISCONSIN PHARMACY, INC
Practice address
2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone
(715) 355-9573
Fax
(715) 355-9579
NPI assigned
Aug 10, 2018
Organization subpart
No

Authorized official

Name
Jonathan W Sohn
Title
Cfo
Phone
(414) 465-3090

Corporate family (same tax ID) 25

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Convenant Pharmacy (26 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 9431-42 WI
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

2251 N Shore Dr
Rhinelander, WI 54501-6710

Mailing address

PO Box 860011
Minneapolis, MN 55486-0011
Phone (414) 874-1026

Other names

  • Ascension WI Prescription Center St. Mary's Hospital Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 3, 2019.

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1104305085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860011",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860011",
            "telephone_number": "414-874-1026",
            "fax_number": "414-874-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N SHORE DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545016710",
            "telephone_number": "715-355-9573",
            "fax_number": "715-355-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION WISCONSIN PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "SOHN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "414-465-3090"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "9431-42",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension WI Prescription Center St. Mary's Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ascension WI Prescription Center St. Mary's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rhinelander, WI

All providers in Rhinelander, WI · Community/Retail Pharmacy in Wisconsin

Sources for this page

Verify at the official NPI Registry.