Fitchburg Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9205-42 Issued in WI

Legal business name

FITCHBURG FAMILY PHARMACY LLC

Practice address

3050 Cahill Main Ste 6
Fitchburg, WI 53711-7137

Phone

(608) 274-3784

Fax

(608) 274-3780

NPI assigned

May 28, 2013

Organization subpart

No

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

Authorized official

Name

Thaddeus James Schumacher, PHARMDNPI 1285747410

Title

Pharmacist / Owner

Phone

(608) 274-3784

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Fitchburg Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thaddeus James Schumacher, PHARMD

  • Pharmacist
  • Fitchburg, WI
  • NPI 1285747410
  NPD Authorized official
• Daniel Ricci, PHARMD

  • Pharmacist
  • Fitchburg, WI
  • NPI 1205248473
  NPD (past)
• Taylor Lee Watterson, PHARMD

  • Pharmacist
  • Fitchburg, WI
  • NPI 1609385202
  NPD (past)

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1285071548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 CAHILL MAIN STE 6",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117137",
            "telephone_number": "608-274-3784",
            "fax_number": "608-274-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 CAHILL MAIN STE 6",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117137",
            "telephone_number": "608-274-3784",
            "fax_number": "608-274-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITCHBURG FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "SCHUMACHER",
        "authorized_official_first_name": "THADDEUS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHARMACIST / OWNER",
        "authorized_official_telephone_number": "608-274-3784",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9205-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100031378",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140531",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fitchburg Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Marie Fiore Kral, P.T.
• Fitchburg Assisted Living
• Fitchburg Dental Clinic, S.C.
• Fitchburg Family Clinic LLC
• Fitchburg Family Pharmacy
• Fitchburg Podiatry LLC
• Fitchburg Transit LLC
• Ashley Ann Flesch, PTA
• David Francis Florio, M.D.
• Therese M Foiles, LPN

• Community/Retail Pharmacy in Fitchburg, WI
• Providers in Fitchburg, 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 Dec 8, 2021; 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.