Badger Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

9061-042 Issued in WI

Legal business name

BADGER PHARMACY LLC

Doing business as

Young's Long Term Care Pharmacy

Practice address

555 S 72ND Ave
Wausau, WI 54401-9038

Phone

(715) 842-0791

Fax

(715) 845-2176

NPI assigned

Aug 20, 2006

Last updated

Aug 4, 2014By 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

Forrest Young, RPHNPI 1629985205

Title

Owner

Phone

(715) 842-0370

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Young's Long Term Care Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Badger Pharmacy LLC

  dba Young's Drug Store

  • Community/Retail Pharmacy
  • Wausau, WI
  • NPI 1073628020

  7416139019

  Same PAC ID
• Badger Pharmacy LLC

  dba Young's Drug Store

  • Community/Retail Pharmacy
  • Merrill, WI
  • NPI 1205164597

  7416139019

  Same PAC ID

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

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.

• Forrest John Young, RPH

  • Pharmacist
  • Merrill, WI
  • NPI 1629985205
  Authorized official Same address or phone

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1609981653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S 72ND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544019038",
            "telephone_number": "715-842-0370",
            "fax_number": "715-842-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S 72ND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544019038",
            "telephone_number": "715-842-0791",
            "fax_number": "715-845-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADGER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "FORREST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-842-0370",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "9061-042",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "9061-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5128144",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609981653",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young's Long Term Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miranda Tina Martha Babl, LPC
• Debra Jean Backes, R.D.H.
• Tonia Yvette Backman, LCSW
• Badger Pharmacy LLC (Young's Drug Store)
• Badger Pharmacy LLC (Young's Drug Store)
• Katelin Bagley
• Baker Borski Chiropractic SC
• Christine Baker, OTD/OTR
• Robin L Baker, D.C.
• Vicky Baker, MD

• Long Term Care Pharmacy in Wausau, WI
• Providers in Wausau, WI by specialty
• Long Term Care Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.