Organization Active NPI

RWG Co Inc

  • Community/Retail Pharmacy
  • Cornell, WI
National Provider Identifier
1710131081
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6620-042 Issued in WI
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
33048700MedicaidWI

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.