Active NPI
Schultz Pharmacy Inc.
- Pharmacy
- Monroe, WI
National Provider Identifier
1518042944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 7669 042
- Legal business name
- SCHULTZ PHARMACY INC.
- Practice address
- 1008 17TH Ave
Monroe, WI 53566-2005 - Phone
- (608) 325-2151
- Fax
- (608) 325-2153
- NPI assigned
- Oct 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jeanne Anne Schultz, PHARMACIST
- Title
- Sec of Corp
- Phone
- (608) 325-2151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 7669 042 | WI | Primary |
Addresses
Primary practice location
1008 17TH Ave
Monroe, WI 53566-2005
Mailing address
1008 17TH Ave
Monroe, WI 53566-2005
Phone (608) 325-2151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33122200 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
1008 17th Ave
Monroe, WI 53566
Phone (608) 325-2151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202083200000",
"number": "1518042944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 17TH AVE",
"city": "MONROE",
"state": "WI",
"postal_code": "535662005",
"telephone_number": "608-325-2151",
"fax_number": "608-325-2153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 17TH AVE",
"city": "MONROE",
"state": "WI",
"postal_code": "535662005",
"telephone_number": "608-325-2151",
"fax_number": "608-325-2153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHULTZ PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2008-02-04",
"status": "A",
"authorized_official_last_name": "SCHULTZ",
"authorized_official_first_name": "JEANNE",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "SEC OF CORP",
"authorized_official_telephone_number": "608-325-2151",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WI",
"license": "7669 042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33122200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.