Active NPI
Zimbric Pharmacies,Inc
- Pharmacy
- Waterloo, WI
National Provider Identifier
1619978202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 5110058
- Legal business name
- ZIMBRIC PHARMACIES,INC
- Practice address
- 104 E Madison St
Waterloo, WI 53594-1273 - Phone
- (920) 478-2685
- NPI assigned
- Aug 3, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nicholas Lloyd Sharrow, RPH
- Title
- President
- Phone
- (920) 478-2685
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 5110058 | WI | Primary |
Addresses
Primary practice location
104 E Madison St
Waterloo, WI 53594-1273
Mailing address
104 E Madison St
Waterloo, WI 53594-1273
Phone (920) 478-2685
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330-764-00 | Medicaid | WI | |
| 5110058 | Other | WI | NABP # |
National Provider Directory
National Provider DirectoryLocations
104 E Madison St
Waterloo, WI 53594
Phone (920) 478-2685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382054400000",
"number": "1619978202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 E MADISON ST",
"city": "WATERLOO",
"state": "WI",
"postal_code": "535941273",
"telephone_number": "920-478-2685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 E MADISON ST",
"city": "WATERLOO",
"state": "WI",
"postal_code": "535941273",
"telephone_number": "920-478-2685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZIMBRIC PHARMACIES,INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-03",
"last_updated": "2013-10-18",
"status": "A",
"authorized_official_last_name": "SHARROW",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "LLOYD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "920-478-2685",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WI",
"license": "5110058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330-764-00",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP #",
"identifier": "5110058",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.