Vosmek Drug Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

7813042 Issued in WI

Legal business name

VOSMEK DRUG STORE INC

Practice address

536 5TH Ave
Antigo, WI 54409-2221

Phone

(715) 623-2631

Fax

(715) 623-6887

NPI assigned

Jun 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Patrick William Frey, RPHNPI 1487735759

Title

President

Phone

(715) 623-2631

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LAKESIDE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Tax ID family

Lakeside Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vosmek Drug Store Inc

  • Long Term Care Pharmacy
  • Antigo, WI
  • NPI 1306622964
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick William Frey, RPH

  • Pharmacist
  • Antigo, WI
  • NPI 1487735759
  NPD Authorized official
• Ronald Lee Remiker, RPH

  • Pharmacist
  • Antigo, WI
  • NPI 1831270107
  NPD (past)
• James Gordon Schofield, RPH

  • Pharmacist
  • Antigo, WI
  • NPI 1164503439
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1346285707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 5TH AVE",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092221",
            "telephone_number": "715-623-2631",
            "fax_number": "715-623-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 5TH AVE",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092221",
            "telephone_number": "715-623-2631",
            "fax_number": "715-623-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOSMEK DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-623-2631",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "7813042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33082400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKESIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greta M Tomany, RN, CMF
• Ross Trecartin, MD
• James M Turnbull, MD
• Unified School District of Antigo
• Vosmek Drug Store Inc
• Nicholas R Wachtel, D.C.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Catherine Mary Waldvogel, RN
• Walgreen Co

• Community/Retail Pharmacy in Antigo, WI
• Providers in Antigo, 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 Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.