Organization Active NPI

Vernon Memorial Healthcare, Inc.

  • Pharmacist
  • Soldiers Grove, WI
National Provider Identifier
1619969490
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8490-042 Issued in WI
Legal business name
VERNON MEMORIAL HEALTHCARE, INC.
Practice address
104 Sunset Ave
Soldiers Grove, WI 54655-7523
Phone
(608) 624-3344
Fax
(608) 624-3944
NPI assigned
Aug 18, 2005
Organization subpart
Yes
Parent organization
VERNON MEMORIAL HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
David Hartberg
Title
Ceo
Phone
(608) 637-4796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 8490-042 WI Primary

Addresses

Primary practice location

104 Sunset Ave
Soldiers Grove, WI 54655-7523

Mailing address

407 S Main St Ste 104
Viroqua, WI 54665-4004
Phone (608) 624-3344

Other identifiers 1

IdentifierTypeStateIssuer
9047-042OtherWISTATE PHARMACY LICENSE

Other names 2

  • Solar Town Pharmacy - VHM Doing business as
  • Vernon Health Soldiers Grove Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vernon Memorial Healthcare6 organizations share this tax ID, including this one
Part of
Vernon Memorial Healthcare

Other organizations with this tax ID 5

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

Locations

104 Sunset Ave
Soldiers Grove, WI 54655
Phone (608) 624-3344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1619969490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S MAIN ST STE 104",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546654004",
            "telephone_number": "608-624-3344",
            "fax_number": "608-624-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SUNSET AVE",
            "city": "SOLDIERS GROVE",
            "state": "WI",
            "postal_code": "546557523",
            "telephone_number": "608-624-3344",
            "fax_number": "608-624-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON MEMORIAL HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VERNON MEMORIAL HEALTHCARE, INC.",
        "enumeration_date": "2005-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "HARTBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-637-4796"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "8490-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "9047-042",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solar Town Pharmacy - VHM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vernon Health Soldiers Grove Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Soldiers Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.