Brownstone RX

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9451-42 Issued in WI

Legal business name

BROWNSTONE RX

Practice address

114 West Bayfield Street
Washburn, WI 54891

Phone

(715) 373-5588

Fax

(715) 373-0481

NPI assigned

Dec 11, 2006

Last updated

Dec 27, 2017By 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

Delora PufallNPI 1750856167

Title

Pic/Owner

Phone

(715) 373-5588

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• Langford Pharmacy Former legal business name

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.

CLIA laboratory certificates

Medicare medical equipment & supply locations

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.

• Delora Ann Pufall, PHARMD

  • Pharmacist
  • Washburn, WI
  • NPI 1750856167
  NPD Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1568522704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548910040",
            "telephone_number": "715-373-5588",
            "fax_number": "715-373-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WEST BAYFIELD STREET",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "54891",
            "telephone_number": "715-373-5588",
            "fax_number": "715-373-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNSTONE RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "PUFALL",
        "authorized_official_first_name": "DELORA",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "715-373-5588"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "7456-042",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9451-42",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER ID",
            "identifier": "5113472",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2113837",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33016300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Langford Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bayfield County Department of Human Services
• Blong Inc.
• David Jennings Blong, D.D.S.
• Ellen Maren Braddock, RN
• Benjamin Britain, LPC
• Marisa Buerger, COTA
• Jillian Mae Cadotte, OTR/L
• Joann Mildred Cahill, MA/CCC-SLP
• Max Chamberlain, PTA
• Chequamegon Counseling, LLC

• Community/Retail Pharmacy in Washburn, WI
• Providers in Washburn, 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 Dec 27, 2017; 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.