Ripon Drug Management Enterprises Inc
Organization Active NPI Community/Retail Pharmacy · Ripon, WI
NPI 1194804872 · NPPES record last updated May 1, 2025
Key facts
- NPI
- 1194804872
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5311-42 (WI)
- Legal business name
- RIPON DRUG MANAGEMENT ENTERPRISES INC
- Practice address
- 328 Watson St
Ripon, WI 54971-1517 - Phone
- (920) 748-5174
- Fax
- (920) 748-2066
- NPI assigned
- Nov 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Saibabu Appalaneni
- Title
- President
- Phone
- (920) 748-5174
Corporate family (same tax ID) 1
Practitioners 6
-
David N Duehring, RPH
-
Kelly Jo Field, PHARMD.
-
Connor Hanson, RPH
-
Joe Lettenberger, RPH
-
Bailey J Patterson, PHARMD, RPH
-
Kathyrn Thomsen, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930037984 | WI | DME Supplier - Pharmacy | 5890812119 | Practice locations: Ripon, WI |
| O20110718000033 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 5890812119 | Practice locations: Ripon, WI |
National Provider Directory
- Tax ID family
- Ripon Drug
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5311-42 | WI | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
328 Watson St
Ripon, WI 54971-1517
Mailing address
328 Watson St
Ripon, WI 54971-1517
Phone (920) 748-5174
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2111798 | Other | PK | |
| 33135300 | Medicaid | WI |
Other names
- RIPON DRUG
Other providers in Ripon, WI
- Christopher J Rauch
- Laurie Ann Rechek
- Susan B Riek
- Ripon Copperleaf Al Operations LLC
- Ripon Drug Management Enterprises Inc
- Ripon Medical Center
- Ripon Medical Center
- Ripon Medical Center Inc
- Ripon Medical Center Inc
- Victor H Roeder III
All providers in Ripon, WI · Community/Retail Pharmacy in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.