Smiling Dog Investments Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9088-42 Issued in WI

Legal business name

SMILING DOG INVESTMENTS INC

Doing business as

Sheboygan Health Mart Pharmacy

Practice address

577 S Taylor Dr
Sheboygan, WI 53081-4234

Phone

(920) 459-7467

Fax

(920) 459-8851

NPI assigned

Jul 20, 2011

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

Camala JorstadNPI 1457765398

Title

RPH

Phone

(920) 254-7270

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sheboygan Health Mart Pharmacy Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Camala Jorstad, R.PH.

  • Pharmacist
  • Sheboygan, WI
  • NPI 1457765398
  NPD (past) Authorized official
• Ken Behr, RPH, MBA

  • Pharmacist
  • Sheboygan, WI
  • NPI 1598674889
  NPD (past)

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1356639504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 S TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814234",
            "telephone_number": "920-459-7467",
            "fax_number": "920-459-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 S TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814234",
            "telephone_number": "920-459-7467",
            "fax_number": "920-459-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILING DOG INVESTMENTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "JORSTAD",
        "authorized_official_first_name": "CAMALA",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "920-254-7270"
    },
    "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": "9088-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131369",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheboygan Health Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sleep Resources, Inc
• Rhonda Louise Sleiter, DDS
• Ninnapa Slezak, PHARMD
• Noah T Slife, PA
• Laura R Slykhouse, MD
• Edward Lawrence Smith, D.O.
• Mackenzie Mae Smith
• Rachel E Smith, DC
• Sarah Jeane Smith, M.D.
• Beth Sobczak III, PT

• Community/Retail Pharmacy in Sheboygan, WI
• Providers in Sheboygan, 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.