Organization Active NPI

Zimbric Pharmacies,Inc

  • Pharmacy
  • Waterloo, WI
National Provider Identifier
1619978202
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5110058 Issued in WI
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

Updated by the provider on Oct 18, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
330-764-00MedicaidWI
5110058OtherWINABP #

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.