Langford Pharmacy of Washburn

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LANGFORD PHARMACY OF WASHBURN

Practice address

114 W Bayfield St
Washburn, WI 54891-1131

Phone

(715) 373-5588

Fax

(715) 373-0481

NPI assigned

May 8, 2017

Last updated

May 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Delora Pufall, PHARMDNPI 1750856167

Title

Pharmacist/Owner

Phone

(715) 373-5588

Specialties & licenses 1

Addresses

Other names 1

• Langford Pharmacy Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Delora Ann Pufall, PHARMD

  • Pharmacist
  • Washburn, WI
  • NPI 1750856167
  NPD (past) Authorized official

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1497281612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548910040",
            "telephone_number": "715-373-5588",
            "fax_number": "715-373-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W BAYFIELD ST",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548911131",
            "telephone_number": "715-373-5588",
            "fax_number": "715-373-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANGFORD PHARMACY OF WASHBURN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "PUFALL",
        "authorized_official_first_name": "DELORA",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "715-373-5588",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Langford Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Joann M Krohn Bailey, MS
• Brittany Lynn Kuka, LPC
• Thomas J Kvanbeck, DDS
• Ashley Ladwig, LPN
• Sandra D Lane, CISW
• Beverly J Lindell, LMFT
• Lisa Marie Ludwig, LCSW
• Elizabeth Ann Madison, P.T.
• Rebecca Lynn Madvig, ATC
• Brenda Louise Martin, PTA

• Community/Retail Pharmacy in Washburn, WI
• Providers in Washburn, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.