Waarvik Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

7290042 Issued in WI

Legal business name

WAARVIK DRUG INC

Practice address

109 Main St
Black River Falls, WI 54615-1748

Phone

(715) 284-4354

Fax

(715) 284-9053

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jerold R Grassman, RPH

Title

Owner/President/Pharmacist

Phone

(715) 284-4354

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1255414330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MAIN ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151748",
            "telephone_number": "715-284-4354",
            "fax_number": "715-284-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MAIN ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151748",
            "telephone_number": "715-284-4354",
            "fax_number": "715-284-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAARVIK DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "GRASSMAN",
        "authorized_official_first_name": "JEROLD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "715-284-4354",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "7290042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33095500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jess M Thill, RN
• Nicholas Raymond Thompson, DPM
• Jodie Tirado
• Kelsey Underwood, FNP
• Beau Vesely, D.P.M
• Carolyn Wakeman, M.D.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Wal-Mart Supercenter 1277
• Thomas Stuart Walker, MD

• Community/Retail Pharmacy in Black River Falls, WI
• Providers in Black River Falls, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.