Organization Active NPI

Village Pharmacy Healthcare Inc

  • Community/Retail Pharmacy
  • Ellsworth, WI
National Provider Identifier
1629633912
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
David P Willink, PHARM.D.NPI 1437184355
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191122002383 WI Part B Supplier - Mass Immunization (Roster Biller Only) 7214369669 Practice locations: Ellsworth, WI

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2269197Village Pharmacy Ellsworth157 E Main St, Ellsworth, WI 54011Certificate of waiverSep 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.

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.

Verify at the official NPI Registry.