NPIMap

Organization Active NPI

Megs Pharmacy Inc

Doing business as Ranger Pharmacy

  • Pharmacy
  • Wausaukee, WI
National Provider Identifier
1457689705
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
8986-042 Issued in WI
Legal business name
MEGS PHARMACY INC
Doing business as
Ranger Pharmacy
Practice address
825 Main St
Wausaukee, WI 54177-9773
Phone
(715) 856-6300
Fax
(715) 856-6311
NPI assigned
Nov 25, 2009
Last updated
Jan 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Ezra GruszynskiNPI 1427397207
Title
President
Phone
(715) 854-7425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 8986-042 WI Primary

Addresses

Primary practice location

825 Main St
Wausaukee, WI 54177-9773

Mailing address

710 Main Ave
Crivitz, WI 54114-1664
Phone (715) 854-7425

Other identifiers 1

IdentifierTypeStateIssuer
5132105OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Ranger Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Megs Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

825 Main St
Wausaukee, WI 54177
Phone (715) 856-6300

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1457689705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MAIN AVE",
            "city": "CRIVITZ",
            "state": "WI",
            "postal_code": "541141664",
            "telephone_number": "715-854-7425",
            "fax_number": "715-854-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 MAIN ST",
            "city": "WAUSAUKEE",
            "state": "WI",
            "postal_code": "541779773",
            "telephone_number": "715-856-6300",
            "fax_number": "715-856-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "GRUSZYNSKI",
        "authorized_official_first_name": "EZRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-854-7425"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "8986-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5132105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ranger Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wausaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.