Organization Active NPI

Ho-Chunk Nation

Doing business as House of Wellness Center Pharmacy

  • Community/Retail Pharmacy
  • Baraboo, WI
National Provider Identifier
1487812897
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
8332-42 Issued in WI
Legal business name
HO-CHUNK NATION
Doing business as
House of Wellness Center Pharmacy
Ho-Chunk House of Wellness Pharmacy
House of Wellness Retail Pharmacy
Practice address
S2845 White Eagle Rd
Baraboo, WI 53913-9064
Phone
(608) 355-5177
Fax
(608) 356-1233
NPI assigned
Jun 2, 2008
Last updated
Apr 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Wally L Apland
Title
Health Dept Director of Finance
Phone
(715) 284-9851

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 8332-42 WI Primary

Addresses

Primary practice location

S2845 White Eagle Rd
Baraboo, WI 53913-9064

Mailing address

S2845 White Eagle Rd
Baraboo, WI 53913-9064
Phone (608) 355-1240

Other identifiers 2

IdentifierTypeStateIssuer
2111110OtherPK
100052111MedicaidWI

Other names 3

  • HOUSE OF WELLNESS CENTER PHARMACY Doing business as
  • Ho-Chunk House of Wellness Pharmacy Doing business as
  • House of Wellness Retail Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ho Chunk Nation13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

S2845 White Eagle Rd
Baraboo, WI 53913
Phone (608) 355-1240

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1487812897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S2845 WHITE EAGLE RD",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539139064",
            "telephone_number": "608-355-1240",
            "fax_number": "608-356-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S2845 WHITE EAGLE RD",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539139064",
            "telephone_number": "608-355-5177",
            "fax_number": "608-356-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HO-CHUNK NATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "APLAND",
        "authorized_official_first_name": "WALLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HEALTH DEPT DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "715-284-9851"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "8332-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111110",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100052111",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOUSE OF WELLNESS CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HOUSE OF WELLNESS CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ho-Chunk House of Wellness Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "House of Wellness Retail Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baraboo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.