Phillips Reedsburg Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

8957-042 Issued in WI

Legal business name

PHILLIPS REEDSBURG PHARMACY INC

Doing business as

Phillips Nekoosa Pharmacy

Practice address

232 Market St
Nekoosa, WI 54457-1122

Phone

(715) 886-3100

Fax

(715) 886-3105

NPI assigned

Nov 6, 2009

Last updated

Dec 10, 2009By 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

Wayne Macardy, RPHNPI 1649440124

Title

President

Phone

(608) 847-5949

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Phillips Nekoosa Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wayne Macardy, RPH

  • Pharmacist
  • Mauston, WI
  • NPI 1649440124
  Authorized official Same address or phone

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1689901084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 136",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539480136",
            "telephone_number": "608-847-5949",
            "fax_number": "608-847-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MARKET ST",
            "city": "NEKOOSA",
            "state": "WI",
            "postal_code": "544571122",
            "telephone_number": "715-886-3100",
            "fax_number": "715-886-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS REEDSBURG PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "MACARDY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-847-5949",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "8957-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5131812",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillips Nekoosa Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Ruth Meyer, R.N.
• Mid-Towne Dental Associates, S.C. (The Lakes Dental)
• Nekoosa School District
• NSH Nekoosa LLC
• Pacific International, LTD.
• Jamie Reimer
• Pamela Ann Reimer, RN
• Riverview Community Dental Clinic
• Riverview Hospital Association (Riverview Family Clinic)
• Riverview Hospital Association (Riverview Family Clinic)

• Community/Retail Pharmacy in Nekoosa, WI
• Providers in Nekoosa, 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 Dec 10, 2009; 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.