Selena Rick
Individual provider Active NPI Pharmacist · Augusta, WI
NPI 1558971705 · NPPES record last updated Aug 3, 2020
Key facts
- NPI
- 1558971705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 18909 (WI)
- Practice address
- 153 W Lincoln St
Augusta, WI 54722-9152 - Phone
- (715) 286-2515
- NPI assigned
- Aug 3, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18909 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacare LTD | Past |
Accepting new patients | |
| Pharmacare LTD | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18909 | WI | Yes |
Addresses
Primary practice location
153 W Lincoln St
Augusta, WI 54722-9152
Mailing address
36363 Main St
Whitehall, WI 54773-9186
Other practice location 1
36363 Main St
Whitehall, WI 54773-9186
Phone (715) 538-4947
Other practice location 2
122 S Eau Claire St
Mondovi, WI 54755-1504
Phone (715) 926-4938
Other providers in Augusta, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.