Tomahawk Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TOMAHAWK PHARMACY LLC

Doing business as

Tomahawk Pharmacy

Practice address

315 W Wisconsin Ave
Tomahawk, WI 54487-1133

Phone

(715) 453-6600

Fax

(715) 453-6601

NPI assigned

May 12, 2014

Last updated

Feb 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyler J Stevenson, PHARMDNPI 1972875789

Title

Owner

Phone

(715) 453-6600

Specialties & licenses 3

Addresses

Other names 1

• Tomahawk Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Tax ID family

Tomahawk Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tomahawk Pharmacy LLC

  • Long Term Care Pharmacy
  • Tomahawk, WI
  • NPI 1851098990
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tyler J Stevenson, PHARMD

  • Pharmacist
  • Tomahawk, WI
  • NPI 1972875789
  NPD Authorized official

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1285045377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544870429",
            "telephone_number": "715-453-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W WISCONSIN AVE",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544871133",
            "telephone_number": "715-453-6600",
            "fax_number": "715-453-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMAHAWK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-453-6600",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "926442",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tomahawk Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tomahawk Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• T a Solberg Co Inc (Trig's Pharmacy)
• Tomahawk Chiropractic, Inc (Rumsey Chiropractic)
• Tomahawk Eye Care
• Tomahawk Eye Care Inc
• Tomahawk Family Dental LLC
• Tomahawk Pharmacy LLC
• Tomahawk School District
• Jill Vanstrydonk, PTA
• Michelle Marie Venzke, RPH
• Valerie Verbist, APNP

• Community/Retail Pharmacy in Tomahawk, WI
• Providers in Tomahawk, 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 Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.