NPIMap

Organization Active NPI

La Clinica de Los Campesinos, Inc

  • Community/Retail Pharmacy
  • Sheboygan, WI
National Provider Identifier
1295258200
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
947242 Issued in WI
Legal business name
LA CLINICA DE LOS CAMPESINOS, INC
Practice address
1721 Saemann Ave
Sheboygan, WI 53081-2342
Phone
(920) 395-2980
Fax
(920) 783-6804
NPI assigned
Jul 21, 2017
Organization subpart
Yes
Parent organization
LA CLINICA DE LOS CAMPESINOS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Erin Bender
Title
Enrollment and Contract Specialist
Phone
(920) 787-9459

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 947242 WI
Community/Retail Pharmacy 3336C0003X 947242 WI Primary

Addresses

Primary practice location

1721 Saemann Ave
Sheboygan, WI 53081-2342

Mailing address

PO Box 1440
Wautoma, WI 54982-1440
Phone (920) 395-2980

Other practice location 1

2719 Calumet Ave
Manitowoc, WI 54220-5546
Phone (920) 783-6633 ext. 255

Other names 1

  • Noble Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lakeshore Community Health6 organizations share this tax ID, including this one
Part of
Lakeshore Community Health

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1295258200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1440",
            "city": "WAUTOMA",
            "state": "WI",
            "postal_code": "549821440",
            "telephone_number": "920-395-2980",
            "fax_number": "920-783-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 SAEMANN AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530812342",
            "telephone_number": "920-395-2980",
            "fax_number": "920-783-6804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2719 Calumet Ave",
            "address_purpose": "LOCATION",
            "city": "Manitowoc",
            "state": "WI",
            "postal_code": "542205546",
            "country_code": "US",
            "telephone_number": "920-783-6633 x255",
            "fax_number": "920-783-6804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LA CLINICA DE LOS CAMPESINOS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA CLINICA DE LOS CAMPESINOS, INC",
        "enumeration_date": "2017-07-21",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "ENROLLMENT AND CONTRACT SPECIALIST",
        "authorized_official_telephone_number": "920-787-9459"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "WI",
            "license": "947242",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "947242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noble Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.