Organization Active NPI

River Run Pharmacies, Inc

Doing business as Central Wisconsin Pharmacy

  • Community/Retail Pharmacy
  • Princeton, WI
National Provider Identifier
1467526996
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3789042 Issued in WI
Legal business name
RIVER RUN PHARMACIES, INC
Doing business as
Central Wisconsin Pharmacy
Practice address
601 S Fulton St
Princeton, WI 54968-8929
Phone
(920) 295-6271
Fax
(920) 295-4077
NPI assigned
Nov 17, 2006
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Eric Jachthuber, PHARMD
Title
Owner
Phone
(608) 297-2474

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 3789042 WI Primary

Addresses

Primary practice location

601 S Fulton St
Princeton, WI 54968-8929

Mailing address

601 S Fulton St
Princeton, WI 54968-8929
Phone (608) 297-2474

Other identifiers 2

IdentifierTypeStateIssuer
1467526996MedicaidWI
2112925OtherPK

Other names 1

  • Central Wisconsin Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240405002039 WI Part B Supplier - Mass Immunization (Roster Biller Only) 0042658379 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Montello, WI; Westfield, WI; Princeton, WI
O20240722000363 WI DME Supplier - Pharmacy 0042658379 Practice locations: Princeton, WI

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
River Run Pharmacies Inc601 S Fulton St, Princeton, WI 54968-8929(920) 295-6271 Immunosuppressive Drugs|Nebulizer Drugs Accepts assignmentParticipating since Mar 4, 2024

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1467526996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S FULTON ST",
            "city": "PRINCETON",
            "state": "WI",
            "postal_code": "549688929",
            "telephone_number": "608-297-2474",
            "fax_number": "608-716-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S FULTON ST",
            "city": "PRINCETON",
            "state": "WI",
            "postal_code": "549688929",
            "telephone_number": "920-295-6271",
            "fax_number": "920-295-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER RUN PHARMACIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "JACHTHUBER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-297-2474",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "3789042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467526996",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2112925",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Wisconsin Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.