Organization Active NPI

Schultz Pharmacy Inc

Doing business as Advanced Care Pharmacy of Omro

  • Long Term Care Pharmacy
  • Winneconne, WI
National Provider Identifier
1457849663
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Care Pharmacy of Omro2 organizations share this tax ID, including this one

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

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.

Verify at the official NPI Registry.