Organization Active NPI

Megs Pharmacy Inc

Doing business as Florence Prescription Services

  • Pharmacy
  • Florence, WI
National Provider Identifier
1609324045
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
852742 Issued in WI
Legal business name
MEGS PHARMACY INC
Doing business as
Florence Prescription Services
Practice address
1010 Olive Ave.
Florence, WI 54121
Phone
(715) 854-7425
Fax
(715) 854-7326
NPI assigned
Sep 14, 2016
Last updated
Dec 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Ezra GruszynskiNPI 1427397207
Title
Owner President
Phone
(715) 854-7425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 852742 WI Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

1010 Olive Ave.
Florence, WI 54121

Mailing address

710 Main Ave
Crivitz, WI 54114-1664
Phone (715) 854-7425

Other identifiers 2

IdentifierTypeStateIssuer
2164279OtherPK
33285100MedicaidWI

Other names 1

  • Florence Prescription Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Megs Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1609324045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 MAIN AVE",
            "city": "CRIVITZ",
            "state": "WI",
            "postal_code": "541141664",
            "telephone_number": "715-854-7425",
            "fax_number": "715-854-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 OLIVE AVE.",
            "city": "FLORENCE",
            "state": "WI",
            "postal_code": "54121",
            "telephone_number": "715-854-7425",
            "fax_number": "715-854-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "GRUSZYNSKI",
        "authorized_official_first_name": "EZRA",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "715-854-7425"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "852742",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164279",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33285100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florence Prescription Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.