Edgerton Chemists Inc.
Organization Active NPI Community/Retail Pharmacy · Edgerton, WI
NPI 1376189407 · NPPES record last updated Nov 22, 2021
Key facts
- NPI
- 1376189407
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- EDGERTON CHEMISTS INC.
- Practice address
- 1011 N Main St
Edgerton, WI 53534-1325 - Phone
- (608) 884-3308
- Fax
- (608) 884-7725
- NPI assigned
- Nov 25, 2019
- Organization subpart
- No
Authorized official
- Name
- Saibabu Appalaneni
- Title
- President
- Phone
- (608) 884-3308
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Edgerton Chemists Inc |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Orthoses: Off-The-Shelf|Ostomy … | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200113002618 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 1951736370 | Practice locations: Edgerton, WI |
| O20200128001806 | WI | DME Supplier - Pharmacy | 1951736370 | Practice locations: Edgerton, WI |
| O20210420001651 | WI | Part B Supplier - Pharmacy | 1951736370 | Practice locations: Edgerton, WI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
1011 N Main St
Edgerton, WI 53534-1325
Mailing address
1011 N Main St
Edgerton, WI 53534-1325
Phone (608) 884-3308
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100098751 | Medicaid | WI |
Other names
- Edgerton Pharmacy
Other providers in Edgerton, WI
- Haley Cottingham
- Jordan Leigh Davis
- Dean Health Systems, Inc.
- Dean Health Systems, Inc.
- Laurie K Drewsen
- Edgerton Community Schools
- Edgerton Fire Protection District
- Edgerton Hospital and Health Services
- Edgerton Hospital and Health Services
- Edgerton Hospital and Health Services
All providers in Edgerton, WI · Community/Retail 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 Nov 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.