Degen Berglund Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

822442 Issued in WI

Legal business name

DEGEN BERGLUND INC

Doing business as

Degen Berglund Onalaska

Practice address

111 Sand Lake Rd
Onalaska, WI 54650-2760

Phone

(608) 775-8595

Fax

(608) 775-8518

NPI assigned

Jun 28, 2006

Last updated

Apr 5, 2016By 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

Jon Bingol, PHARMD

Title

Director

Phone

(608) 775-8526

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• DEGEN BERGLUND ONALASKA Doing business as

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1336177732",
    "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": "608-775-8500",
            "fax_number": "608-775-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SAND LAKE RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502760",
            "telephone_number": "608-775-8595",
            "fax_number": "608-775-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEGEN BERGLUND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-04-05",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "822442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2110036",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33262400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEGEN BERGLUND ONALASKA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen M. Dargel, MD
• Jared I Darveaux, MD
• Kaylin Davis
• Sarah Davis, PHARM D
• Karlie Degaetano
• Degen-Berglund Inc
• Milton Joseph Dehn
• Tara Kathleen Deigmann, NP
• Denali Occupational Therapy, LLC
• Dental Clinic of Onalaska

• Community/Retail Pharmacy in Onalaska, WI
• Providers in Onalaska, 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 Apr 5, 2016; 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.