Edgerton Chemists Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EDGERTON CHEMISTS INC.

Doing business as

Edgerton Pharmacy

Practice address

1011 N Main St
Edgerton, WI 53534-1325

Phone

(608) 884-3308

Fax

(608) 884-7725

NPI assigned

Nov 25, 2019

Last updated

Nov 22, 2021By 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

Saibabu Appalaneni

Title

President

Phone

(608) 884-3308

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Edgerton Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1376189407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N MAIN ST",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535341325",
            "telephone_number": "608-884-3308",
            "fax_number": "608-884-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N MAIN ST",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535341325",
            "telephone_number": "608-884-3308",
            "fax_number": "608-884-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGERTON CHEMISTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "APPALANENI",
        "authorized_official_first_name": "SAIBABU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-884-3308"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098751",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgerton Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edgerton Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haley Cottingham, APNP
• Jordan Leigh Davis, DDS
• Dean Health Systems, Inc. (SSM Health Dean Medical Group - Edgerton)
• 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 Edgerton Clinic)
• Edgerton Hospital and Health Services

• Community/Retail Pharmacy in Edgerton, WI
• Providers in Edgerton, 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 Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.