Active NPI
Vernon Memorial Healthcare, Inc.
- Pharmacist
- Soldiers Grove, WI
National Provider Identifier
1619969490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8490-042
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9047-042 | Other | WI | STATE PHARMACY LICENSE |
Other names 2
- Solar Town Pharmacy - VHM
- Vernon Health Soldiers Grove Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Vernon Memorial Healthcare
- 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.
-
- Community/Retail Pharmacy
- Westby, WI
- NPI 1447427505
-
- Community/Retail Pharmacy
- Lafarge, WI
- NPI 1518352921
-
- Rural Acute Care Hospital
- Viroqua, WI
- NPI 1164752648
-
- Critical Access Hospital
- Viroqua, WI
- NPI 1992701031
-
- Non-Pharmacy Dispensing Site
- Viroqua, WI
- NPI 1912290651
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.
-
- Pharmacist
- Hubertus, WI
- NPI 1134534001
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.