White Cross Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

8951-42 Issued in WI

Legal business name

WHITE CROSS PHARMACY INC

Practice address

314 Silver St
Hurley, WI 54534-1254

Phone

(715) 561-5666

Fax

(715) 561-5654

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Mark Pechacek

Title

President

Phone

(715) 762-3283

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• White Cross Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

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

Locations

Practitioners 2

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

• Erik N Overby, B.S. PHARM

  • Pharmacist
  • Hurley, WI
  • NPI 1518211655
  NPD
• Laura Katherine Burt, PHARM. D.

  • Pharmacist
  • Hurley, WI
  • NPI 1265784185
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1497766232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 2ND AVE N",
            "city": "PARK FALLS",
            "state": "WI",
            "postal_code": "545521214",
            "telephone_number": "715-762-3283",
            "fax_number": "715-762-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 SILVER ST",
            "city": "HURLEY",
            "state": "WI",
            "postal_code": "545341254",
            "telephone_number": "715-561-5666",
            "fax_number": "715-561-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE CROSS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "PECHACEK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-762-3283"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "8951-42",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Cross Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sky View Nursing Center LLC
• Lauren Snyder
• Sandra Lee Stella, R.N.
• The Lakes Community Health Center, Inc
• Villa Maria Health and Rehabilitation Center, LLC
• Chelsea Wimer

• All providers in Hurley, WI
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.