NPIMap

Organization Active NPI

Winona Health Services

Doing business as Winona Health Services Clinic Pharmacy

  • Community/Retail Pharmacy
  • Winona, MN
National Provider Identifier
1144521089
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
263603 Issued in MN
Legal business name
WINONA HEALTH SERVICES
Doing business as
Winona Health Services Clinic Pharmacy
Practice address
859 Mankato Ave
Winona, MN 55987-6435
Phone
(507) 457-7688
Fax
(507) 457-8598
NPI assigned
Nov 9, 2010
Last updated
Dec 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Rachelle Heising Schultz, ED.D
Title
President/Ceo
Phone
(507) 454-3650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 263603 MN Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

859 Mankato Ave
Winona, MN 55987-6435

Mailing address

859 Mankato Ave
Winona, MN 55987-6435
Phone (507) 457-4156

Other names 1

  • Winona Health Services Clinic Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110801000303 MN DME Supplier - Pharmacy 8527977420 Practice locations: Winona, MN

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lake Winona ManorWinona, MN, CCN 245240 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2011
Winona Area Hospice ServicesWinona, MN, CCN 241535 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2011

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 4

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": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1144521089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 MANKATO AVE",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876435",
            "telephone_number": "507-457-4156",
            "fax_number": "507-457-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 MANKATO AVE",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876435",
            "telephone_number": "507-457-7688",
            "fax_number": "507-457-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINONA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "HEISING SCHULTZ",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "507-454-3650",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "263603",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winona Health Services Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Winona Health Services Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winona, MN

Sources for this page

Verify at the official NPI Registry.