Cross Plains Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

829842 Issued in WI

Legal business name

CROSS PLAINS PHARMACY LLC

Doing business as

Cross Plains Pharmacy

Practice address

1840 Main St
Cross Plains, WI 53528-9473

Phone

(608) 798-3031

Fax

(608) 798-3932

NPI assigned

Aug 20, 2006

Last updated

Feb 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Kostecki, RPHNPI 1205843646

Title

Owner

Phone

(608) 798-3031

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CROSS PLAINS 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, and the practitioner matching its NPPES authorized official.

• Lisa Kostecki, RPH

  • Pharmacist
  • Cross Plains, WI
  • NPI 1205843646
  NPD Authorized official
• Amy Cathleen Kuker, PHARMD

  • Pharmacist
  • Cross Plains, WI
  • NPI 1104033828
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1528173572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "CROSS PLAINS",
            "state": "WI",
            "postal_code": "535280215",
            "telephone_number": "608-798-3031",
            "fax_number": "608-798-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MAIN ST",
            "city": "CROSS PLAINS",
            "state": "WI",
            "postal_code": "535289473",
            "telephone_number": "608-798-3031",
            "fax_number": "608-798-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS PLAINS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "KOSTECKI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-798-3031",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "829842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2112693",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33268700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROSS PLAINS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CROSS PLAINS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Emma Bussan, MD
• Jessica Ann Cooney, PT
• Cross Plains Area Emergency Medical Service
• Cross Plains Area Emergency Medical Services (Cross Plains Area EMS)
• Cross Plains Family Chiropractic
• Brynn Cunat, BSN,RN,LSN,NCSN
• Nikki Lynn Dotte, RN
• Catherine Elizabeth Downey, DC
• Eugene F. Foley, M.D.
• Kalesha Marie Ford, LPN

• Community/Retail Pharmacy in Cross Plains, WI
• Providers in Cross Plains, 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 Feb 20, 2025; 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.