Active NPI
E-Scripts, Inc
- Community/Retail Pharmacy
- Prairie Du Sac, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 6313
- Legal business name
- E-SCRIPTS, INC
- Practice address
- 405 Water St
Prairie Du Sac, WI 53578-1126 - Phone
- (608) 643-3396
- Fax
- (608) 643-4361
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Eannelli, RPH
- Title
- Owner
- Phone
- (608) 643-3396
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 6313 | WI | Primary |
Addresses
Primary practice location
405 Water St
Prairie Du Sac, WI 53578-1126
Mailing address
405 Water St
Prairie Du Sac, WI 53578-1126
Phone (608) 643-3396
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5108837 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 33245100 | Medicaid | WI |
Other names 1
- EANNELLI PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930091450 | WI | DME Supplier - Pharmacy | 9436270691 | Practice locations: Prairie Du Sac, WI |
| O20121017000137 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 9436270691 | Practice locations: Prairie Du Sac, WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2063714 | Eannelli Pharmacy | Certificate of waiver | Aug 6, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- E-Scripts Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Prairie Du Sac, WI
- NPI 1285484758
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Long Term Care Pharmacy
- Prairie Du Sac, WI
- NPI 1285484758
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Prairie Du Sac, WI
- NPI 1962831552
-
- Pharmacy Technician
- Prairie Du Sac, WI
- NPI 1558790188
-
- Pharmacist
- Baraboo, WI
- NPI 1225627771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1174534671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 WATER ST",
"city": "PRAIRIE DU SAC",
"state": "WI",
"postal_code": "535781126",
"telephone_number": "608-643-3396",
"fax_number": "608-643-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 WATER ST",
"city": "PRAIRIE DU SAC",
"state": "WI",
"postal_code": "535781126",
"telephone_number": "608-643-3396",
"fax_number": "608-643-4361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "E-SCRIPTS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "EANNELLI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-643-3396",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WI",
"license": "6313",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "5108837",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33245100",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EANNELLI PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Prairie Du Sac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.