NPIMap

Organization Active NPI

Pharmaventures Inc

  • Community/Retail Pharmacy
  • Edgerton, WI
National Provider Identifier
1538159116
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
9498-042 Issued in WI
Legal business name
PHARMAVENTURES INC
Doing business as
EDGERTON PHARMACY
Practice address
1011 N Main St
Edgerton, WI 53534-1325
Phone
(608) 884-3308
Fax
(608) 884-7725
NPI assigned
Oct 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Jenna Gresens, BS PHARMACYNPI 1679692057
Title
Owner
Phone
(608) 884-3308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 9498-042 WI Primary

Addresses

Primary practice location

1011 N Main St
Edgerton, WI 53534-1325

Mailing address

1011 N Main St
Edgerton, WI 53534-1325
Phone (608) 884-3308

Other identifiers 2

IdentifierTypeStateIssuer
2111923OtherPK
33265900MedicaidWI

Other names 1

  • EDGERTON PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

711 N Main St
Edgerton, WI 53534
Phone (608) 884-3308

1011 N Main St
Edgerton, WI 53534
Phone (608) 884-3308

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1538159116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N MAIN ST",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535341325",
            "telephone_number": "608-884-3308",
            "fax_number": "608-884-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N MAIN ST",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535341325",
            "telephone_number": "608-884-3308",
            "fax_number": "608-884-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMAVENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "GRESENS",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-884-3308",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9498-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111923",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33265900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDGERTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EDGERTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edgerton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.