The Pharmacy Station Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

9158-40 Issued in WI

Legal business name

THE PHARMACY STATION INC

Practice address

300 S Pine St
Burlington, WI 53105-2235

Phone

(262) 763-8877

NPI assigned

Feb 13, 2014

Organization subpart

No

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

Authorized official

Name

Jared Spitzer

Title

President

Phone

(262) 763-8877

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roxanne Lynn Colwell, PHARMD

  • Pharmacist
  • Waterford, WI
  • NPI 1316583743
  NPD (past)
• Kathryn Marie Lindemann

  • Pharmacist
  • Burlington, WI
  • NPI 1639593809
  NPD (past)

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1730503517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 ROBINS RUN",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051073",
            "telephone_number": "262-763-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PINE ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531052235",
            "telephone_number": "262-763-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHARMACY STATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "SPITZER",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-763-8877"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WI",
            "license": "9158-40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33031100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Swiggett
• Erin Marie Tauscher, M.S. OTR/L
• David L Taylor, MD
• Ted N Teberg, PT
• The Bay at Burlington Health and Rehabilitation LLC
• Indermohan S Thethi, MD
• Caitria Thiele, LAC, MSOM
• Heather Nicole Thomas, APNP
• Lori Jean Thomas, LMT
• Ann M Thompson, APNP

• Substance Abuse Rehabilitation Facility in Burlington, WI
• Providers in Burlington, WI by specialty
• Substance Abuse Rehabilitation Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.