Spring Green Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6137-042 Issued in WI

Legal business name

SPRING GREEN PHARMACY INC

Practice address

208 E Jefferson St
Spring Green, WI 53588-8002

Phone

(608) 588-2541

NPI assigned

Oct 3, 2006

Last updated

Aug 8, 2016By 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

Alisha M Hahn, R.PH.NPI 1679656078

Title

Owner

Phone

(608) 588-2541

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Tax ID family

Spring Green Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Spring Green Pharmacy

  dba Lodi Pharmacy

  • Long Term Care Pharmacy
  • Lodi, WI
  • NPI 1871687343
  NPD tax ID
• Spring Green Pharmacy Inc

  dba Spring Green Health Mart Pharmacy

  • Long Term Care Pharmacy
  • Spring Green, WI
  • NPI 1568993210
  NPD tax ID

Practitioners 2

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.

• Alisha M Hahn, R.PH.

  • Pharmacist
  • Spring Green, WI
  • NPI 1679656078
  NPD (past) Authorized official
• Shane P Johnson, PHARMD

  • Pharmacist
  • Spring Green, WI
  • NPI 1306172507
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1629162268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E JEFFERSON ST",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "535888002",
            "telephone_number": "608-588-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E JEFFERSON ST",
            "city": "SPRING GREEN",
            "state": "WI",
            "postal_code": "535888002",
            "telephone_number": "608-588-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING GREEN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-588-2541",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "6137-042",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "6137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simply Health Chiropractic LLC (Simply Health Chiropractic)
• Kisa Sue Sorg
• Spring Green Fire Protection District
• Spring Green Fire Protection District
• Spring Green Pharmacy Inc (Spring Green Health Mart Pharmacy)
• Spring Green Vision Center, Inc.
• Spring Medical Associates,LLC
• Kelly J Stowell, R.D.H.
• Surgical and Rehab Services Inc
• Taylor Chiropractic & Sports Injury Center, S.C.

• Community/Retail Pharmacy in Spring Green, WI
• Providers in Spring Green, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.