Village Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

8460 Issued in WI

Legal business name

VILLAGE PHARMACY INC

Practice address

633 N Hwy 141
Box 186
Coleman, WI 54112-0186

Phone

(920) 897-5333

Fax

(920) 897-5451

NPI assigned

Aug 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Dean Hines, RPHNPI 1386082303

Title

Owner President

Phone

(920) 897-5333

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Jeffrey Hines, RPH

  • Pharmacist
  • Coleman, WI
  • NPI 1386082303
  NPD (past) Authorized official
• Casey Jo Blom, PHARMD

  • Pharmacist
  • Coleman, WI
  • NPI 1780969808
  NPD (past)
• Karen Hines, RPH

  • Pharmacist
  • Coleman, WI
  • NPI 1538550454
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124031463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 N HWY 141",
            "address_2": "BOX 186",
            "city": "COLEMAN",
            "state": "WI",
            "postal_code": "541120186",
            "telephone_number": "920-897-5333",
            "fax_number": "920-897-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 N HWY 141",
            "address_2": "BOX 186",
            "city": "COLEMAN",
            "state": "WI",
            "postal_code": "541120186",
            "telephone_number": "920-897-5333",
            "fax_number": "920-897-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER  PRESIDENT",
        "authorized_official_telephone_number": "920-897-5333",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "8460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailey Mae Klimek
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• Kelly Mitchell, RN
• Rays of Hope Counseling Center
• Madisen Helen Styczynski, OTD, OTR/L

• Community/Retail Pharmacy in Coleman, WI
• Providers in Coleman, 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 Aug 22, 2020; 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.