Organization Active NPI

Tlsme Inc

Doing business as Seymour Pharmacy

  • Community/Retail Pharmacy
  • Seymour, WI
National Provider Identifier
1295725687
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
7407-042 Issued in WI
Legal business name
TLSME INC
Doing business as
Seymour Pharmacy
Practice address
124 S Main St
Seymour, WI 54165-1451
Phone
(920) 833-2141
Fax
(920) 833-7556
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Tim Schellinger, RPH
Title
Owner
Phone
(920) 833-2141

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 7407-042 WI Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

124 S Main St
Seymour, WI 54165-1451

Mailing address

124 S Main St
Seymour, WI 54165-1451
Phone (920) 833-2141

Other identifiers 2

IdentifierTypeStateIssuer
5109194OtherNCPDP PROVIDER IDENTIFICATION NUMBER
33202000MedicaidWI

Other names 1

  • SEYMOUR PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

124 S Main St
Seymour, WI 54165
Phone (920) 833-2141

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1295725687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST",
            "city": "SEYMOUR",
            "state": "WI",
            "postal_code": "541651451",
            "telephone_number": "920-833-2141",
            "fax_number": "920-833-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST",
            "city": "SEYMOUR",
            "state": "WI",
            "postal_code": "541651451",
            "telephone_number": "920-833-2141",
            "fax_number": "920-833-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLSME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "SCHELLINGER",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-833-2141",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "7407-042",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5109194",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33202000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEYMOUR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seymour, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.