The Pharmacy of New London Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

THE PHARMACY OF NEW LONDON INC.

Doing business as

Jernegan's Health Mart Pharmacy

Practice address

1301 Mill St
New London, WI 54961-2153

Phone

(920) 982-7670

Fax

(920) 982-7686

NPI assigned

Aug 31, 2006

Last updated

Mar 7, 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

Jim Jernegan, RPH

Title

Owner Pharmacist

Phone

(920) 982-7670

Specialties & licenses 3

Addresses

Other names 1

• Jernegan's Health Mart Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1295847119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MILL ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612153",
            "telephone_number": "920-982-7670",
            "fax_number": "920-982-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MILL ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612153",
            "telephone_number": "920-982-7670",
            "fax_number": "920-982-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHARMACY OF NEW LONDON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JERNEGAN",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "920-982-7670",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "6861",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jernegan's Health Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Strey, RN
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• Craig E Sylte, O.D.
• Mark Alan Tegtmeier, MA, LCSW, LPC, LMFT
• Marcella K Teske, APNP
• Thedacare Medical Center - New London, Inc
• Thedacare Medical Center - New London, Inc
• Thedacare Medical Center - New London, Inc
• Thedacare Medical Center - New London, Inc.
• Thedacare Medical Center - New London, Inc.

• Community/Retail Pharmacy in New London, WI
• Providers in New London, 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 Mar 7, 2023; 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.