Danick Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

7434-42 Issued in WI

Legal business name

DANICK INC

Doing business as

29 Super Pharmacy

Practice address

2806 Schofield Ave
Schofield, WI 54476-2431

Phone

(715) 359-3194

Fax

(715) 359-7459

NPI assigned

Jun 12, 2006

Last updated

May 9, 2016By 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

Sally Pregont, RPH

Title

Owner

Phone

(715) 359-3194

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• 29 SUPER PHARMACY Doing business as

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1649212945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 SCHOFIELD AVE",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544762431",
            "telephone_number": "715-359-3194",
            "fax_number": "715-359-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 SCHOFIELD AVE",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544762431",
            "telephone_number": "715-359-3194",
            "fax_number": "715-359-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANICK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "PREGONT",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-359-3194",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "7434-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2115411",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33204000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "29 SUPER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Wisconsin Mental Health Associates, SC
• Tiffany Lenore Chapman, LPC
• Michael Robert Clark, MD, MPH
• D.C. Everest Area Schools
• Heidi Marie Dampier, LPC-IT
• Jodi L Debroux, APNP
• Laura Dickinson, RN
• Michael David Dill, PHARM.D.
• Lauri A Doepke, LPC
• Krystle Rose Drees, FNP-C

• Community/Retail Pharmacy in Schofield, WI
• Providers in Schofield, 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 May 9, 2016; 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.