Dreier Pharmacy and Gift Shop Inc
Organization Active NPI Long Term Care Pharmacy · Shawano, WI
NPI 1366067654 · NPPES record last updated Jun 11, 2020
Key facts
- NPI
- 1366067654
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- DREIER PHARMACY AND GIFT SHOP INC
- Practice address
- 117 S Main St
Shawano, WI 54166-2357 - Phone
- (715) 526-2011
- Fax
- (715) 524-6377
- NPI assigned
- Jun 11, 2020
- Organization subpart
- No
Authorized official
- Name
- Timothy Dreier, RPH
- Title
- Owner/Manager
- Phone
- (715) 526-2011
Corporate family (same tax ID) 1
Practitioners 1
-
Timothy Dreier, RPH
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Dreier Pharmacy |
Blood Glucose Monitors/Supplies (Non-Mail Order)|Ostomy Supplies | Does not accept assignment |
National Provider Directory
- Tax ID family
- Dreier Pharmacy and Gift Shop Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
117 S Main St
Shawano, WI 54166-2357
Mailing address
117 S Main St
Shawano, WI 54166-2357
Phone (715) 526-2011
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33055100 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://stores.healthmart.com/dreierpharmacy/stores.aspx |
Other providers in Shawano, WI
- Rebecca L Donnay
- Casey Dorsch
- John Milton Dovorany
- Bree Downie
- Roxanne Doyle Keszo
- Dreier Pharmacy and Gift Shop Inc
- Timothy Dreier
- Cassandra Ebeling
- Rebecca A Egan
- Sally Susan Egan
All providers in Shawano, WI · Long Term Care Pharmacy in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.