Active NPI
Marshfield Clinic Inc
Doing business as INACTIVE Marshfield Clinic Pharmacy Minocqua
- Pharmacy
- Minocqua, WI
National Provider Identifier
1467085878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- MARSHFIELD CLINIC INC
- Doing business as
- INACTIVE Marshfield Clinic Pharmacy Minocqua
- Practice address
- 9576 Highway 70
Ste a
Minocqua, WI 54548-9054 - Phone
- (715) 358-1216
- NPI assigned
- Feb 14, 2020
- Last updated
- Nov 3, 2022
- Organization subpart
- Yes
- Parent organization
- MARSHFIELD CLINIC HEALTH SYSTEM INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Narayana Murali
- Title
- Evp - Care Delivery
- Phone
- (715) 387-5318
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
9576 Highway 70
Ste a
Minocqua, WI 54548-9054
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5211
Other names 1
- INACTIVE Marshfield Clinic Pharmacy Minocqua
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200618000348 | WI | DME Supplier - Pharmacy | 2264345206 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Minocqua, WI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Marshfield Clinic Pharmacy
- Community/Retail Pharmacy
- Minocqua, WI
- NPI 1285708016
O20200618000348
National Provider Directory
National Provider Directory- Part of
- Marshfield Clinic Health System Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Family Nurse Practitioner
- Stevens Point, WI
- NPI 1629806336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667433600000",
"number": "1467085878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495703",
"telephone_number": "715-387-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9576 HIGHWAY 70",
"address_2": "STE A",
"city": "MINOCQUA",
"state": "WI",
"postal_code": "545489054",
"telephone_number": "715-358-1216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARSHFIELD CLINIC INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARSHFIELD CLINIC HEALTH SYSTEM INC",
"enumeration_date": "2020-02-14",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A",
"authorized_official_last_name": "MURALI",
"authorized_official_first_name": "NARAYANA",
"authorized_official_title_or_position": "EVP - CARE DELIVERY",
"authorized_official_telephone_number": "715-387-5318"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "INACTIVE Marshfield Clinic Pharmacy Minocqua",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minocqua, WI
- Ben Lonsdorf, DDS
- Charles A Lonsdorf, MD
- Abigail M. Mallek Karch, PA
- Marshfield Clinic (Marshfield Clinic Pharmacy)
- Marshfield Clinic Inc (Marshfield Clinic Pharmacy)
- Marshfield Clinic, Inc. (Marshfield Clinic Minocqua Center)
- Cara Bosco Martinez, P.A.
- Joseph J Mazza, MD
- Michael P. McGill, MD
- MCHS Hospitals Inc (Marshfield Medical Center - Minocqua)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.