Cpi Menomonie LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9288-42 Issued in WI

Legal business name

CPI MENOMONIE LLC

Doing business as

The Medicine Shoppe Pharmacy

Practice address

1302 Stout Rd
Menomonie, WI 54751-2979

Phone

(715) 309-4329

Fax

(715) 309-4326

NPI assigned

Oct 29, 2014

Last updated

Feb 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Winger

Title

Owner - President

Phone

(715) 861-4422

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• The Medicine Shoppe Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1639574932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 E SPRUCE ST",
            "address_2": "SUITE 102",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292579",
            "telephone_number": "715-861-4422",
            "fax_number": "715-861-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 STOUT RD",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512979",
            "telephone_number": "715-309-4329",
            "fax_number": "715-309-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPI MENOMONIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "WINGER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER - PRESIDENT",
        "authorized_official_telephone_number": "715-861-4422"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9288-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100043217",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148740",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County of Dunn (Dunn County Department of Human Services & Adrc)
• County of Dunn (Dunn County Department of Human Services & Adrc)
• County of Dunn
• County of Dunn
• Cpi Menomonie LLC
• Laura Cragin, APNP
• Charles Cramer, M.S., CSAC
• Creating Space Massage Therapy LLC (Menomonie Therapeutic Massage)
• Emily Johannsen Croes, P.A.-C
• Kristen M Cummings, PA-C

• Community/Retail Pharmacy in Menomonie, WI
• Providers in Menomonie, 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 Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.