Sauk City Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

G637042 Issued in WI

Legal business name

SAUK CITY PHARMACY INC

Doing business as

Sauk City Pharmacy

Practice address

830 Water St
Sauk City, WI 53583

Phone

(608) 643-6858

Fax

(608) 643-4196

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Lee Blessing, RPH

Title

Pres

Phone

(608) 643-6858

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sauk City Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508947185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 WATER ST",
            "city": "SAUK CITY",
            "state": "WI",
            "postal_code": "53583",
            "telephone_number": "608-643-6858",
            "fax_number": "608-643-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 WATER ST",
            "city": "SAUK CITY",
            "state": "WI",
            "postal_code": "53583",
            "telephone_number": "608-643-6858",
            "fax_number": "608-643-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUK CITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLESSING",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "608-643-6858",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "G637042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5115692",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33034300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sauk City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roots Family Chiropractic
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• Kathryn Rubinchik
• Shanna L. Rufener, SLP
• Diane Lynn Ryan-Pete, RN
• Sauk Prairie Healthcare, Inc.
• Sauk Prairie Schools
• Sauk Spine Chiropractic, Inc.
• Todd A Schad, M.D.
• Kyla Schaub

• Community/Retail Pharmacy in Sauk City, WI
• Providers in Sauk City, 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 Aug 22, 2020; 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.