NPIMap

Organization Active NPI

Ballweg Family Pharmacy Inc

  • Long Term Care Pharmacy
  • Prairie Du Sac, WI
National Provider Identifier
1104532654
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BALLWEG FAMILY PHARMACY INC
Practice address
1200 Prairie St
Prairie Du Sac, WI 53578-2041
Phone
(608) 643-6500
NPI assigned
Jan 27, 2023
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BALLWEG FAMILY PHARMACY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Dennis John BallwegNPI 1265785448
Title
President
Phone
(608) 643-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1200 Prairie St
Prairie Du Sac, WI 53578-2041

Mailing address

1200 Prairie St
Prairie Du Sac, WI 53578-2041
Phone (608) 370-2396

Other names 1

  • BALLWEG FAMILY PHARMACY INC Long-Term Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Ballweg Family Pharmacy2 organizations share this tax ID, including this one
Part of
Ballweg Family Pharmacy

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1104532654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PRAIRIE ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535782041",
            "telephone_number": "608-370-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PRAIRIE ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535782041",
            "telephone_number": "608-643-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLWEG FAMILY PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BALLWEG FAMILY PHARMACY, INC",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "BALLWEG",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-643-6500"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BALLWEG FAMILY PHARMACY INC Long-Term Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prairie Du Sac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.