Organization Active NPI

Pharmacare LTD

Doing business as Galesville Pharmacy

  • Community/Retail Pharmacy
  • Galesville, WI
National Provider Identifier
1144890435
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMACARE LTD
Doing business as
Galesville Pharmacy
Practice address
16812 S Main St
Galesville, WI 54630-7704
Phone
(608) 582-2446
NPI assigned
Jun 29, 2021
Last updated
Jun 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Brandin Henke
Title
Manager
Phone
(715) 833-6770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

16812 S Main St
Galesville, WI 54630-7704

Mailing address

PO Box 8
Galesville, WI 54630-0008

Other names 1

  • Galesville Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120202000575 WI Part B Supplier - Mass Immunization (Roster Biller Only) 4082829601 10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Whitehall, WI; Bloomer, WI; Mondovi, WI; Barron, WI; Chetek, WI; Augusta, WI

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2269309Galesville Pharmacy16812 S Main St, Galesville, WI 54630Certificate of waiverSep 22, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1144890435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "GALESVILLE",
            "state": "WI",
            "postal_code": "546300008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16812 S MAIN ST",
            "city": "GALESVILLE",
            "state": "WI",
            "postal_code": "546307704",
            "telephone_number": "608-582-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "HENKE",
        "authorized_official_first_name": "BRANDIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "715-833-6770"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galesville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.