Organization Active NPI

Schultz Pharmacy Inc.

  • Pharmacy
  • Monroe, WI
National Provider Identifier
1518042944
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
7669 042 Issued in WI
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

Updated by the provider on Feb 4, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
33122200MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.