Individual provider Active NPI

Steven William Tumilty, R.PH.

  • Pharmacist
  • MC Farland, WI
National Provider Identifier
1194078113
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10811-40 Issued in WI
Practice address
5700 US Highway 51
MC Farland, WI 53558-9319
Phone
(608) 838-5700
Fax
(608) 838-2023
NPI assigned
Oct 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10811-40 WI Primary

Addresses

Primary practice location

5700 US Highway 51
MC Farland, WI 53558-9319

Mailing address

5700 US Highway 51
MC Farland, WI 53558-9319
Phone (608) 838-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
10811-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
LCT Enterprises, Inc Current Accepting new patients

Locations

5700 US Highway 51
McFarland, WI 53558
Phone (608) 838-5700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1194078113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 US HIGHWAY 51",
            "city": "MC FARLAND",
            "state": "WI",
            "postal_code": "535589319",
            "telephone_number": "608-838-5700",
            "fax_number": "608-838-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 US HIGHWAY 51",
            "city": "MC FARLAND",
            "state": "WI",
            "postal_code": "535589319",
            "telephone_number": "608-838-5700",
            "fax_number": "608-838-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMILTY",
        "first_name": "STEVEN",
        "middle_name": "WILLIAM",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "10811-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Farland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.