Active NPI
RWG Co Inc
- Community/Retail Pharmacy
- Cornell, WI
National Provider Identifier
1710131081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 6620-042
- Legal business name
- RWG CO INC
- Practice address
- 300 Main St
Cornell, WI 54732-8384 - Phone
- (715) 239-6453
- Fax
- (715) 239-6078
- NPI assigned
- Nov 12, 2008
- Last updated
- Jan 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ray W. Gavitt, R.PH.
- Title
- President
- Phone
- (715) 239-6565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 6620-042 | WI | Primary |
Addresses
Primary practice location
300 Main St
Cornell, WI 54732-8384
Mailing address
328 N 6TH St
Cornell, WI 54732-8129
Phone (715) 239-6565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33048700 | Medicaid | WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Pharmacist
- Cornell, WI
- NPI 1841519931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231891200000",
"number": "1710131081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 N 6TH ST",
"city": "CORNELL",
"state": "WI",
"postal_code": "547328129",
"telephone_number": "715-239-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MAIN ST",
"city": "CORNELL",
"state": "WI",
"postal_code": "547328384",
"telephone_number": "715-239-6453",
"fax_number": "715-239-6078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RWG CO INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-12",
"last_updated": "2009-01-14",
"status": "A",
"authorized_official_last_name": "GAVITT",
"authorized_official_first_name": "RAY",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "715-239-6565",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WI",
"license": "6620-042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33048700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cornell, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.