Organization Active NPI

McGlynn Pharmacy Inc.

  • Durable Medical Equipment & Medical Supplies
  • Stoughton, WI
National Provider Identifier
1689664823
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
8121 Issued in WI
Legal business name
MCGLYNN PHARMACY INC.
Practice address
100 E Main St
Stoughton, WI 53589-1721
Phone
(608) 873-3244
Fax
(608) 873-4023
NPI assigned
Oct 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Daniel D. McGlynn, RPHNPI 1467669168
Title
President
Phone
(608) 873-3244

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 8121 WI Primary

Addresses

Primary practice location

100 E Main St
Stoughton, WI 53589-1721

Mailing address

100 E Main St
Stoughton, WI 53589-1721
Phone (608) 873-3244

Other identifiers 2

IdentifierTypeStateIssuer
33258800MedicaidWI
5103053OtherWINABP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1689664823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891721",
            "telephone_number": "608-873-3244",
            "fax_number": "608-873-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891721",
            "telephone_number": "608-873-3244",
            "fax_number": "608-873-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGLYNN PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "MCGLYNN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-873-3244",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "8121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33258800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "5103053",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.