NPIMap

Organization Active NPI

Morton Drug Co Inc

Doing business as Morton LTC

  • Long Term Care Pharmacy
  • Neenah, WI
National Provider Identifier
1699840033
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
9299-42 Issued in WI
Legal business name
MORTON DRUG CO INC
Doing business as
Morton LTC
Practice address
201 E Bell St
Neenah, WI 54956-5096
Phone
(920) 727-3853
Fax
(920) 722-1530
NPI assigned
Nov 21, 2006
Last updated
Aug 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Jeffrey Blank
Title
VP Corporate Services
Phone
(920) 727-8882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 9299-42 WI Primary

Addresses

Primary practice location

201 E Bell St
Neenah, WI 54956-5096

Mailing address

PO Box 778
Neenah, WI 54957-0778
Phone (920) 727-3853

Other identifiers 2

IdentifierTypeStateIssuer
2110942OtherPK
33290300MedicaidWI

Other names 1

  • MORTON LTC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090528000558 WI Part B Supplier - Mass Immunization (Roster Biller Only) 7113076860 12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Neenah, WI
O20100930012628 WI DME Supplier - Pharmacy 7113076860 Practice locations: Neenah, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Morton Drug Co Inc201 E Bell St, Neenah, WI 54956-5096(920) 886-2908 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings Does not accept assignmentParticipating since Jan 1, 2005

National Provider Directory

National Provider Directory
Tax ID family
Morton Drug Company Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

N162 Eisenhower Dr
Ste 100
Appleton, WI 54915
Phone (920) 731-4830

712 Midway Rd
Menasha, WI 54952
Phone (920) 722-1378

1417 S Commercial St
Neenah, WI 54956
Phone (920) 727-3844

1855 S Koeller St
Ste 242
Oshkosh, WI 54902
Phone (920) 426-7110

251 N Sawyer St
Oshkosh, WI 54902
Phone (920) 235-5530

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1699840033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549570778",
            "telephone_number": "920-727-3853",
            "fax_number": "920-727-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E BELL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549565096",
            "telephone_number": "920-727-3853",
            "fax_number": "920-722-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTON DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "VP CORPORATE SERVICES",
        "authorized_official_telephone_number": "920-727-8882"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "9299-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2110942",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33290300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORTON LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neenah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.