Degen-Berglund, Inc

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

8773-042 Issued in WI

Legal business name

DEGEN-BERGLUND, INC

Practice address

2441 Green Bay St
La Crosse, WI 54601

Phone

(608) 775-8571

Fax

(608) 775-8578

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Daniel Reckase

Title

Chief Executive Officer

Phone

(608) 775-8500

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1215965611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3157",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546023157",
            "telephone_number": "608-775-8500",
            "fax_number": "608-775-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 GREEN BAY ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "54601",
            "telephone_number": "608-775-8571",
            "fax_number": "608-775-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEGEN-BERGLUND, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RECKASE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "608-775-8500"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "WI",
            "license": "8773-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5106489",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0516526",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33236300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charmaine Dee
• Daniel C Deetz, MD
• Haley Marie Deflorian, RN
• Degen Berglund Inc
• Degen Berglund Inc
• Degen-Berglund, Inc.
• Jeffry A Degenhardt, MD
• Taylor Jean Degroot
• Mya E Dehning, APSW
• Allison Marie Deisting

• Home Infusion Therapy Pharmacy in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Home Infusion Therapy Pharmacy in Wisconsin

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.