Luxemburg Pharmacy, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

8299-042 Issued in WI

Legal business name

LUXEMBURG PHARMACY, LLC

Doing business as

Luxemburg Pharmacy, LLC

Practice address

125 School Creek TRL
Luxemburg, WI 54217-1095

Phone

(920) 845-5832

Fax

(920) 845-5834

NPI assigned

Aug 15, 2017

Organization subpart

No

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

Authorized official

Name

Christine SeidlNPI 1134305543

Title

Owner and RPH

Phone

(920) 845-5832

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Luxemburg Pharmacy, LLC Doing business as

Tax ID family

Luxemburg Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Luxemburg Pharmacy, LLC

  • Community/Retail Pharmacy
  • Luxemburg, WI
  • NPI 1922104934
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine C Seidl, RPH

  • Pharmacist
  • Luxemburg, WI
  • NPI 1134305543
  NPD Authorized official

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1164948816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SCHOOL CREEK TRL",
            "city": "LUXEMBURG",
            "state": "WI",
            "postal_code": "542171095",
            "telephone_number": "920-845-5832",
            "fax_number": "920-845-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SCHOOL CREEK TRL",
            "city": "LUXEMBURG",
            "state": "WI",
            "postal_code": "542171095",
            "telephone_number": "920-845-5832",
            "fax_number": "920-845-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXEMBURG PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "SEIDL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER AND RPH",
        "authorized_official_telephone_number": "920-845-5832"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "8299-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33268500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2170832",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luxemburg Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sally Jo Ledvina, APNP
• Katherine Ludolph
• Luxemburg Casco School District
• Luxemburg Emergency and Rescue Service Association (Luxemburg Emergency Service and Rescue Service Luxemburg Rescue Squad)
• Luxemburg Family Chiropractic, SC
• Luxemburg Pharmacy, LLC
• Sadie Lynn Mleziva, MS CCC SLP
• Kaylee T Ninnemann, LPC
• Lisa Marie Noskowiak, LPN
• Amanda Marie Olson, RN, BSN

• Long Term Care Pharmacy in Luxemburg, WI
• Providers in Luxemburg, WI by specialty
• Long Term Care Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.