Active NPI
Village Pharmacy Healthcare Inc
- Community/Retail Pharmacy
- Ellsworth, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- VILLAGE PHARMACY HEALTHCARE INC
- Practice address
- 157 E Main St
Ellsworth, WI 54011 - Phone
- (715) 504-3665
- Fax
- (715) 504-3666
- NPI assigned
- May 2, 2019
- Organization subpart
- Yes
- Parent organization
- VILLAGE PHARMACY 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 P Willink, PHARM.D.
- Title
- President/Owner
- Phone
- (715) 684-2674
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
157 E Main St
Ellsworth, WI 54011
Mailing address
PO Box 15
Baldwin, WI 54002-0015
Phone (715) 684-2674
Other names 1
- Village Pharmacy Ellsworth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191122002383 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 7214369669 | Practice locations: Ellsworth, WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2269197 | Village Pharmacy Ellsworth | Certificate of waiver | Sep 21, 2026 |
National Provider Directory
National Provider Directory- Part of
- Village Pharmacy Healthcare
Locations
157 E Main St
Ellsworth, WI 54011
Phone (715) 504-3665
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
- Baldwin, WI
- NPI 1437184355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748908800000",
"number": "1629633912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15",
"city": "BALDWIN",
"state": "WI",
"postal_code": "540020015",
"telephone_number": "715-684-2674",
"fax_number": "715-684-4076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 E MAIN ST",
"city": "ELLSWORTH",
"state": "WI",
"postal_code": "54011",
"telephone_number": "715-504-3665",
"fax_number": "715-504-3666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE PHARMACY HEALTHCARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VILLAGE PHARMACY HEALTHCARE INC",
"enumeration_date": "2019-05-02",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A",
"authorized_official_last_name": "WILLINK",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "715-684-2674",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"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": "Village Pharmacy Ellsworth",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ellsworth, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.