Pamida Stores Operating Co. LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PAMIDA STORES OPERATING CO. LLC

Practice address

8 S Main St
Clintonville, WI 54929-1565

Phone

(715) 823-2106

Fax

(715) 823-1322

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Paul E Rothamel

Title

Ceo/President

Phone

(402) 596-7499

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• Pamida Home Medical Equipment 177 Doing business as

Tax ID family

Pamida Stores Oper Comp LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Pamida Stores Operating Co LLC

  • Community/Retail Pharmacy
  • Wadena, MN
  • NPI 1164476396
  NPD tax ID
• Pamida Stores Operating Co LLC

  • Durable Medical Equipment & Medical Supplies
  • California, MO
  • NPI 1225223944
  NPD tax ID
• Pamida Stores Operating Co LLC

  • Durable Medical Equipment & Medical Supplies
  • Albany, MO
  • NPI 1699960286
  NPD tax ID

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1124065875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S MAIN ST",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549291565",
            "telephone_number": "715-823-2106",
            "fax_number": "715-823-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S MAIN ST",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549291565",
            "telephone_number": "715-823-2106",
            "fax_number": "715-823-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMIDA STORES OPERATING CO. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "ROTHAMEL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "402-596-7499",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "5105475",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5694490114",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41738400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pamida Home Medical Equipment 177",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Meyer
• Angela Miller, PHARMD
• Joanne Rita Niemuth, COTA
• Orthopedic & Spine Therapy of Clintonville, SC
• Orthopedic & Spine Therapy of Clintonville, SC
• Mark Joseph Pensis, DC
• Pine Manor Health Care Ctr
• Leonard J Purull, RPH
• Julie Kay Radtke, P.T.A.
• Mohamed Rasekh

• Durable Medical Equipment & Medical Supplies in Clintonville, WI
• Providers in Clintonville, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.