NPIMap

Organization Active NPI

Manitowoc Pharmacies Inc

Doing business as Pulaski Pharmacy - Long Term Care

  • Long Term Care Pharmacy
  • Pulaski, WI
National Provider Identifier
1538899596
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MANITOWOC PHARMACIES INC
Doing business as
Pulaski Pharmacy - Long Term Care
Practice address
121 N Saint Augustine St
Pulaski, WI 54162-7982
Phone
(920) 822-3011
Fax
(920) 822-3852
NPI assigned
Jun 13, 2022
Last updated
Jun 13, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MANITOWOC PHARMACIES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Mr. Timothy P Starry
Title
Vice President
Phone
(920) 822-3011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

121 N Saint Augustine St
Pulaski, WI 54162-7982

Mailing address

PO Box 200
Pulaski, WI 54162-0200
Phone (920) 822-3011

Other names 1

  • Pulaski Pharmacy - Long Term Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Manitowoc Pharmacies Inc4 organizations share this tax ID, including this one
Part of
Manitowoc Pharmacies Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 N Saint Augustine St
Pulaski, WI 54162
Phone (920) 822-3011

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1538899596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200",
            "city": "PULASKI",
            "state": "WI",
            "postal_code": "541620200",
            "telephone_number": "920-822-3011",
            "fax_number": "920-822-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N SAINT AUGUSTINE ST",
            "city": "PULASKI",
            "state": "WI",
            "postal_code": "541627982",
            "telephone_number": "920-822-3011",
            "fax_number": "920-822-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANITOWOC PHARMACIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANITOWOC PHARMACIES INC",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "STARRY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "920-822-3011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulaski Pharmacy - Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pulaski, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.