LTC RX Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

9055-042 Issued in WI

Legal business name

LTC RX INC

Doing business as

LTC Rx

Practice address

13 E Spruce St Ste 102
Chippewa Falls, WI 54729-2579

Phone

(715) 861-4422

Fax

(715) 861-5141

NPI assigned

Dec 28, 2010

Last updated

Feb 21, 2017By 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

Paul WingerNPI 1023387503

Title

Owner

Phone

(715) 723-9192

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• LTC Rx Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 3

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.

• Paul David Winger, RPH

  • Pharmacist
  • Chippewa Falls, WI
  • NPI 1023387503
  Authorized official Same address or phone
• Susan Littfin, PHARMD

  • Pharmacist
  • Chippewa Falls, WI
  • NPI 1902158223
  NPD
• Maxine Ische, PHARMACIST

  • Pharmacist
  • Chippewa Falls, WI
  • NPI 1851980957
  NPD (past)

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1396049706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 E SPRUCE ST STE 102",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292579",
            "telephone_number": "715-861-4422",
            "fax_number": "715-861-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 E SPRUCE ST STE 102",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292579",
            "telephone_number": "715-861-4422",
            "fax_number": "715-861-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "WINGER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-723-9192"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "9055-042",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100013800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129386",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LTC Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martha Joan Lindeman, CAC
• Rachael Lionberger, RDN, CD
• Susan Littfin, PHARMD
• Carol Jean Long
• Melissa M. Long, M.S., CCC/SLP
• Michael Gerald Lubahn, DPT, ATC
• Megen M Lube, RDH
• Lutheran Social Services of Wisconsin and Upper Michigan, Inc. (Lutheran Social Services of WI and Upper MI Outpatient Counseling)
• Sheresa L Lynch, PT
• Jami Marie Lyons, DNP, APNP

• Long Term Care Pharmacy in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Long Term Care Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.