Molter Family Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MOLTER FAMILY PHARMACY LLC

Practice address

701 E Clifton St
Tomah, WI 54660-2633

Phone

(608) 372-4115

Fax

(608) 372-4116

NPI assigned

Aug 3, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Mark Ray MolterNPI 1518587104

Title

Owner/Managing Member

Phone

(608) 372-5355

Specialties & licenses 1

Addresses

Other names 1

• Molter's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Molter

  • Pharmacist
  • Tomah, WI
  • NPI 1518587104
  NPD Authorized official
• Brian L Gaul, PHARMD

  • Pharmacist
  • Tomah, WI
  • NPI 1417009226
  NPD

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1487328548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E CLIFTON ST",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546602633",
            "telephone_number": "608-372-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E CLIFTON ST",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "546602633",
            "telephone_number": "608-372-4115",
            "fax_number": "608-372-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLTER FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "MOLTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "608-372-5355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molter's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura J Miller, NP
• Iram Minus, D.O.
• Paul Mitchell, MSW
• MJ Care Inc.
• Sanjay Jayanti Modhera, PHARMACIST
• Mark Molter
• Alison Marie Monson, APNP
• Sharon K Montalbano, MSW
• Alexander Morgan, OTR/L
• Margaret Alyse Morris, PH.D.

• Pharmacy in Tomah, WI
• Providers in Tomah, WI by specialty
• Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.

Verify at the official NPI Registry.