Park Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

7643-42 Issued in WI

Legal business name

PARK PHARMACY INC

Doing business as

North Central IV

Practice address

138 1/2 2ND Ave N
Park Falls, WI 54552-1214

Phone

(715) 762-3248

Fax

(715) 762-2980

NPI assigned

May 31, 2005

Organization subpart

Yes

Parent organization

PARK PHARMACY INCAs reported in NPPES

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

Authorized official

Name

Mr. Mark Pechacek

Title

Owner

Phone

(715) 762-3248

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• North Central IV Doing business as

Part of

Park Pharmacy Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Park Pharmacy Inc

  • Pharmacy
  • Park Falls, WI
  • NPI 1689677999
  NPPES parent name

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1316940679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 1/2 2ND AVE N",
            "city": "PARK FALLS",
            "state": "WI",
            "postal_code": "545521214",
            "telephone_number": "715-762-3248",
            "fax_number": "715-762-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 1/2 2ND AVE N",
            "city": "PARK FALLS",
            "state": "WI",
            "postal_code": "545521214",
            "telephone_number": "715-762-3248",
            "fax_number": "715-762-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARK PHARMACY INC",
        "enumeration_date": "2005-05-31",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "PECHACEK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-762-3248",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "WI",
            "license": "7643-042",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "7643-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33220500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Central IV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Michael Oien, DC
• Park Falls Regional Medical Clinic, S.C.
• Park Manor LTD
• Park Manor, LTD.
• Park Manor, LTD.
• Park Pharmacy Inc
• Amy Pearson, MA, PT, CWS
• Mark Steven Pechacek, RPH
• Tennille H. Penn, D.D.S.
• Eric M Peters, DMD

• Long Term Care Pharmacy in Park Falls, WI
• Providers in Park Falls, WI by specialty
• Long Term Care Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.