Rasmussen Village Pharmacy, Inc.
Organization Active NPI Community/Retail Pharmacy · Baldwin, WI
NPI 1609832500 · NPPES record last updated Jun 3, 2025
Key facts
- NPI
- 1609832500
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- RASMUSSEN VILLAGE PHARMACY, INC.
- Practice address
- 840 Main St
Baldwin, WI 54002-0015 - Phone
- (715) 684-2674
- Fax
- (715) 684-4076
- NPI assigned
- Apr 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. David P Willink, PHARM.D.
- Title
- Owner/Pharmacist
- Phone
- (715) 684-2674
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100519000853 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 0941339543 |
1 other NPI on this enrollment Practice locations: Baldwin, WI; Glenwood City, WI |
| O20100930038417 | WI | DME Supplier - Pharmacy |
0941339543 | Practice locations: Baldwin, WI |
National Provider Directory
- Tax ID family
- Rasmussen Village Pharmacy
Locations
840 Main St
Baldwin, WI 54002
Phone (715) 684-2674
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
840 Main St
Baldwin, WI 54002-0015
Mailing address
PO Box 15
Baldwin, WI 54002-0015
Phone (715) 684-2674
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5105110 | Other | NCPDP | |
| 33079900 | Medicaid | WI |
Other names
- Village Pharmacy
Other providers in Baldwin, WI
- Carol June Poppy
- Raymond Leroy Price
- Purdy Family Dentistry
- Nilin Raj
- Rasmussen Village Pharmacy, Inc.
- Dane L Rasmussen
- Elizabeth Lacy Rau
- Reformedicine SC
- Reformedicine, S.C.
- Richfield Medical, LLC
All providers in Baldwin, WI · Community/Retail Pharmacy in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.