Active NPI
Maci Sprosty
- Pharmacist
- La Crosse, WI
National Provider Identifier
1609400852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20031-40
- Practice address
- 900 West Ave S
La Crosse, WI 54601-4729 - Phone
- (608) 796-2058
- NPI assigned
- Feb 26, 2020
- Last updated
- Feb 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20031-40 | WI | Primary |
Addresses
Primary practice location
900 West Ave S
La Crosse, WI 54601-4729
Mailing address
50096 State Highway 171
Gays Mills, WI 54631-7114
Phone (608) 606-4028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20031-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1609400852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50096 STATE HIGHWAY 171",
"city": "GAYS MILLS",
"state": "WI",
"postal_code": "546317114",
"telephone_number": "608-606-4028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WEST AVE S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014729",
"telephone_number": "608-796-2058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPROSTY",
"first_name": "MACI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-26",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "20031-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Crosse, WI
- Cassidy Spies
- Indy Lou Spindler, PA
- Karen Dawn Spitzer, D.D.S.
- Brittany Estelle Splittgerber, M.D.
- Mary Beth Springer, CSAC
- Balaji Srinivasan, MD
- St, Joseph's Rehabilitation Center (Catholic Residential Services, Inc.)
- St. Clare Health Mission Pharmacy
- Jennifer L St. John, RPH
- Stephen Kimball Stacey, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.