Organization Active NPI

Mount Horeb Family Pharmacy LLC

  • Long Term Care Pharmacy
  • Mount Horeb, WI
National Provider Identifier
1508699372
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MOUNT HOREB FAMILY PHARMACY LLC
Practice address
203 W Main St
Mount Horeb, WI 53572-1914
Phone
(608) 437-3001
Fax
(608) 437-6480
NPI assigned
Aug 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Jennifer Weiland
Title
Business Manager
Phone
(608) 437-3001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

203 W Main St
Mount Horeb, WI 53572-1914

Mailing address

203 W Main St
Mount Horeb, WI 53572-1914
Phone (608) 437-3001

Other names 1

  • Mount Horeb Family Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mount Horeb Family Pharm3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1508699372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W MAIN ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535721914",
            "telephone_number": "608-437-3001",
            "fax_number": "608-437-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W MAIN ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535721914",
            "telephone_number": "608-437-3001",
            "fax_number": "608-437-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT HOREB FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "WEILAND",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "608-437-3001"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Horeb Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mount Horeb Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Horeb, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.