NPIMap

Organization Active NPI

Holy Family Memorial, Inc

Doing business as Holy Family Memorial Medical Center

  • Pharmacy
  • Manitowoc, WI
National Provider Identifier
1477676971
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
3205-042 Issued in WI
Legal business name
HOLY FAMILY MEMORIAL, INC
Doing business as
Holy Family Memorial Medical Center
Practice address
2300 Western Ave
Manitowoc, WI 54220-3712
Phone
(920) 320-2273
Fax
(920) 320-3578
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Mrs. Darlene M. Wiegand, PHARMACIST
Title
Director of Pharmacy
Phone
(920) 320-2274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 3205-042 WI Primary

Addresses

Primary practice location

2300 Western Ave
Manitowoc, WI 54220-3712

Mailing address

2300 Western Ave
Manitowoc, WI 54220-3712
Phone (920) 320-2273

Other identifiers 1

IdentifierTypeStateIssuer
5112228OtherWINABP

Other names 1

  • Holy Family Memorial Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Holy Family Memorial Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1477676971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WESTERN AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542203712",
            "telephone_number": "920-320-2273",
            "fax_number": "920-320-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WESTERN AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542203712",
            "telephone_number": "920-320-2273",
            "fax_number": "920-320-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY FAMILY MEMORIAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "WIEGAND",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "920-320-2274",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "3205-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "5112228",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Family Memorial Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.