NPIMap

Organization Active NPI

Degen Berglund Inc

  • Community/Retail Pharmacy
  • Holmen, WI
National Provider Identifier
1316988157
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
849142 Issued in WI
Legal business name
DEGEN BERGLUND INC
Doing business as
DEGEN BERGLUND HOLMEN
Practice address
600 N Holmen Dr
Ste 1
Holmen, WI 54636-9606
Phone
(608) 775-8875
Fax
(608) 775-8878
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Authorized official

Name
Jon Bingol, PHARMD
Title
Director
Phone
(608) 775-8526

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 849142 WI Primary

Addresses

Primary practice location

600 N Holmen Dr
Ste 1
Holmen, WI 54636-9606

Mailing address

PO Box 3157
La Crosse, WI 54602-3157
Phone (608) 775-8526

Other identifiers 2

IdentifierTypeStateIssuer
33282300MedicaidWI
2110289OtherPK

Other names 1

  • DEGEN BERGLUND HOLMEN Doing business as

National Provider Directory

National Provider Directory

Locations

600 N Holmen Dr
Ste 1
Holmen, WI 54636
Phone (608) 775-8875

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1316988157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3157",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546023157",
            "telephone_number": "608-775-8526",
            "fax_number": "608-775-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N HOLMEN DR",
            "address_2": "STE 1",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369606",
            "telephone_number": "608-775-8875",
            "fax_number": "608-775-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEGEN BERGLUND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "BINGOL",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-775-8526",
        "authorized_official_credential": "PHARMD"
    },
    "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": "849142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33282300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2110289",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEGEN BERGLUND HOLMEN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DEGEN BERGLUND HOLMEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holmen, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.