Organization Active NPI

Hall Pharmacy Inc

  • Community/Retail Pharmacy
  • Sauk City, WI
National Provider Identifier
1346355393
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
4150042 Issued in WI
Legal business name
HALL PHARMACY INC
Practice address
803 Water St
Sauk City, WI 53583-1502
Phone
(608) 643-3717
Fax
(608) 643-8920
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Charles Hall
Title
Owner
Phone
(608) 643-3717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 4150042 WI Primary

Addresses

Primary practice location

803 Water St
Sauk City, WI 53583-1502

Mailing address

803 Water St
Sauk City, WI 53583-1502

Other identifiers 3

IdentifierTypeStateIssuer
5109156OtherOTHER ID NUMBER
5109156OtherOTHER ID NUMBER-COMMERCIAL NUMBER
33102300MedicaidWI

National Provider Directory

National Provider Directory

Locations

803 Water St
Sauk City, WI 53583
Phone (608) 643-3717

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1346355393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 WATER ST",
            "city": "SAUK CITY",
            "state": "WI",
            "postal_code": "535831502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 WATER ST",
            "city": "SAUK CITY",
            "state": "WI",
            "postal_code": "535831502",
            "telephone_number": "608-643-3717",
            "fax_number": "608-643-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-643-3717"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "4150042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5109156",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5109156",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33102300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sauk City, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.