NPIMap

Organization Active NPI

River Run Pharmacies, Inc

Doing business as CWP Montello

  • Health Service Clinic/Center
  • Montello, WI
National Provider Identifier
1609764232
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
RIVER RUN PHARMACIES, INC
Doing business as
CWP Montello
Practice address
120 Underwood Ave
Montello, WI 53949-9354
Phone
(608) 297-2474
Fax
(608) 716-3159
NPI assigned
Jun 24, 2025
Last updated
Jul 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Eric D Jachthuber, RPHNPI 1881971513
Title
Owner
Phone
(608) 297-7452

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Health Service Clinic/Center 261QH0100X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

120 Underwood Ave
Montello, WI 53949-9354

Mailing address

120 Underwood Ave
Montello, WI 53949-9354
Phone (608) 297-2474

Other names 1

  • CWP Montello Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2316765CWP - Montello120 Underwood Ave, Montello, WI 53949Certificate of waiverJan 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
River Run Pharmacies Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1609764232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 UNDERWOOD AVE",
            "city": "MONTELLO",
            "state": "WI",
            "postal_code": "539499354",
            "telephone_number": "608-297-2474",
            "fax_number": "608-716-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 UNDERWOOD AVE",
            "city": "MONTELLO",
            "state": "WI",
            "postal_code": "539499354",
            "telephone_number": "608-297-2474",
            "fax_number": "608-716-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER RUN PHARMACIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "JACHTHUBER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-297-7452",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CWP Montello",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CWP Montello",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montello, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.