Active NPI
Pharmacy Operations Inc
- Community/Retail Pharmacy
- Frederic, WI
National Provider Identifier
1639263221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5116567 | Other | WI | NCPDP # |
| 33276300 | Medicaid | WI |
Other names 1
- Medicine Shoppe
National Provider Directory
National Provider DirectoryNPI 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.