Organization Active NPI

LCT Enterprises, Inc

  • Community/Retail Pharmacy
  • MC Farland, WI
National Provider Identifier
1427073931
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
7697-042 Issued in WI
Legal business name
LCT ENTERPRISES, INC
Doing business as
THE MEDICINE SHOPPE
Practice address
5700 US Highway 51
MC Farland, WI 53558-9319
Phone
(608) 838-5700
Fax
(608) 838-2023
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Linda Catherine Tumilty, RPHNPI 1679989073
Title
Vice President
Phone
(608) 838-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 7697-042 WI Primary

Addresses

Primary practice location

5700 US Highway 51
MC Farland, WI 53558-9319

Mailing address

5700 US Highway 51
MC Farland, WI 53558-9319
Phone (608) 838-5700

Other identifiers 3

IdentifierTypeStateIssuer
5320570001OtherWIMEDICARE PTAN
5123841OtherWINCPDP
33226300MedicaidWI

Other names 1

  • THE MEDICINE SHOPPE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110216000642 WI Part B Supplier - Mass Immunization (Roster Biller Only) 3678783487 Practice locations: McFarland, WI

National Provider Directory

National Provider Directory

Locations

5700 US Highway 51
McFarland, WI 53558
Phone (608) 838-5700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1427073931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 US HIGHWAY 51",
            "city": "MC FARLAND",
            "state": "WI",
            "postal_code": "535589319",
            "telephone_number": "608-838-5700",
            "fax_number": "608-838-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 US HIGHWAY 51",
            "city": "MC FARLAND",
            "state": "WI",
            "postal_code": "535589319",
            "telephone_number": "608-838-5700",
            "fax_number": "608-838-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCT ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "TUMILTY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "608-838-5700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "7697-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "5320570001",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5123841",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33226300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in MC Farland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.