Active NPI
Sanford Care Services, Inc
- Pharmacy
- Eau Claire, WI
National Provider Identifier
1255766580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 9221-42
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9221-42 | Other | WI | PHARMACY LICENSE |
Other names 1
- sCs, Inc
National Provider Directory
National Provider DirectoryLocations
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.