Organization Active NPI

Pharmacy Operations Inc

  • Community/Retail Pharmacy
  • Frederic, WI
National Provider Identifier
1639263221
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMACY OPERATIONS INC
Practice address
110 E Oak Street
Frederic, WI 54837
Phone
(715) 327-4208
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mark A Miller
Title
V.P. Pharmacy Operations
Phone
(800) 325-1397

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 8415-042 WI
Community/Retail Pharmacy 3336C0003X WI Primary

Addresses

Primary practice location

110 E Oak Street
Frederic, WI 54837

Mailing address

1 Rider Trail Plaza Dr
Suite 300
Earth City, MO 63045-1313
Phone (314) 993-6000

Other identifiers 2

IdentifierTypeStateIssuer
5116567OtherWINCPDP #
33276300MedicaidWI

Other names 1

  • Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1639263221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIDER TRAIL PLAZA DR",
            "address_2": "SUITE 300",
            "city": "EARTH CITY",
            "state": "MO",
            "postal_code": "630451313",
            "telephone_number": "314-993-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E OAK STREET",
            "city": "FREDERIC",
            "state": "WI",
            "postal_code": "54837",
            "telephone_number": "715-327-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY OPERATIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "V.P. PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "800-325-1397"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "8415-042",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "5116567",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33276300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederic, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.