Organization Active NPI

Sanford Care Services, Inc

  • Pharmacy
  • Eau Claire, WI
National Provider Identifier
1255766580
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
9221-42 Issued in WI
Legal business name
SANFORD CARE SERVICES, INC
Practice address
2423 E Clairemont Ave
Eau Claire, WI 54701-6724
Phone
(715) 833-6770
Fax
(715) 833-6773
NPI assigned
Sep 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Mr. Gilliam R Sanford, RPH
Title
Pharmacist in Charge
Phone
(715) 833-6770

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 9221-42 WI Primary
Compounding Pharmacy 3336C0004X 9221-42 WI
Long Term Care Pharmacy 3336L0003X 9221-42 WI

Addresses

Primary practice location

2423 E Clairemont Ave
Eau Claire, WI 54701-6724

Mailing address

2423 E Clairemont Ave
Eau Claire, WI 54701-6724
Phone (715) 833-6770

Other identifiers 1

IdentifierTypeStateIssuer
9221-42OtherWIPHARMACY LICENSE

Other names 1

  • sCs, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

2423 E Clairemont Ave
Eau Claire, WI 54701
Phone (715) 833-6770

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1255766580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 E CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016724",
            "telephone_number": "715-833-6770",
            "fax_number": "715-833-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 E CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016724",
            "telephone_number": "715-833-6770",
            "fax_number": "715-833-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "GILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "715-833-6770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "9221-42",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WI",
            "license": "9221-42",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "9221-42",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "9221-42",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sCs, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.