Abbotsford Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ABBOTSFORD PHARMACY INC

Doing business as

Abbotsford Pharmacy

Practice address

206 N 4TH St
Abbotsford, WI 54405-9413

Phone

(715) 715-7216

Fax

(715) 316-0021

NPI assigned

Apr 5, 2019

Organization subpart

No

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

Authorized official

Name

Paige Wiles

Title

Administrative Assistant

Phone

(715) 418-3478

Specialties & licenses 2

Addresses

Other names 1

• Abbotsford Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1629530837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 4TH ST",
            "city": "ABBOTSFORD",
            "state": "WI",
            "postal_code": "544059413",
            "telephone_number": "715-721-6068",
            "fax_number": "715-316-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N 4TH ST",
            "city": "ABBOTSFORD",
            "state": "WI",
            "postal_code": "544059413",
            "telephone_number": "715-715-7216",
            "fax_number": "715-316-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBOTSFORD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "WILES",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "715-418-3478"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abbotsford Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Abbotsford Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abbotsford Volunteer Fire
• Alpine Medical Equipment LLC
• Astia Health Clinical Services, SC
• Jamie Lynn Barker, MSN, FNP-C
• Bedrock HCS at Abbotsford LLC

• Community/Retail Pharmacy in Abbotsford, WI
• Providers in Abbotsford, 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 Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.