Active NPI
Schultz Pharmacy Inc
Doing business as Advanced Care Pharmacy of Omro
- Long Term Care Pharmacy
- Winneconne, WI
National Provider Identifier
1457849663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- SCHULTZ PHARMACY INC
- Doing business as
- Advanced Care Pharmacy of Omro
- Practice address
- 124 W Main St
Winneconne, WI 54986-9332 - Phone
- (920) 685-6300
- NPI assigned
- Apr 24, 2018
- Last updated
- Feb 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth J Bressers
- Title
- President
- Phone
- (920) 685-6300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
124 W Main St
Winneconne, WI 54986-9332
Mailing address
333 E Huron St
Omro, WI 54963-1403
Phone (920) 685-6300
Other names 1
- Advanced Care Pharmacy of Omro
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Care Pharmacy of Omro
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707868800000",
"number": "1457849663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E HURON ST",
"city": "OMRO",
"state": "WI",
"postal_code": "549631403",
"telephone_number": "920-685-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 W MAIN ST",
"city": "WINNECONNE",
"state": "WI",
"postal_code": "549869332",
"telephone_number": "920-685-6300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHULTZ PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-24",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A",
"authorized_official_last_name": "BRESSERS",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "920-685-6300"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Care Pharmacy of Omro",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advanced Care Pharmacy of Omro",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winneconne, WI
- Adam Francis Mootz, DC
- Morton Drug Co Inc (Morton Pharmacy)
- Andrea Jane Neault, PA
- Caley Irene Powell, B.S.N.,R.N.
- John F. Richardson, D.D.S.
- Shopko Stores Operating Co LLC (Shopko Pharmacy 613)
- Stacey Lee Sprenger, M.S., CCC-SLP
- The Growing Tree Counseling & Wellness
- Mya Thuerman
- Upper Lakes Dental, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.