NPIMap

Organization Active NPI

Elkhorn Pharmacy LTD

  • Long Term Care Pharmacy
  • Elkhorn, WI
National Provider Identifier
1750117917
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ELKHORN PHARMACY LTD
Practice address
603 E Geneva St
Elkhorn, WI 53121-2301
Phone
(262) 723-8444
Fax
(262) 723-8760
NPI assigned
Sep 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
May Herning Kue
Title
Pharmacy Owner
Phone
(262) 723-8444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

603 E Geneva St
Elkhorn, WI 53121-2301

Mailing address

603 E Geneva St
Elkhorn, WI 53121-2301
Phone (262) 723-8444

National Provider Directory

National Provider Directory
Tax ID family
Elkhorn Pharmacy LTD3 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.

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1750117917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E GENEVA ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531212301",
            "telephone_number": "262-723-8444",
            "fax_number": "262-723-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E GENEVA ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531212301",
            "telephone_number": "262-723-8444",
            "fax_number": "262-723-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHORN PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "KUE",
        "authorized_official_first_name": "MAY HERNING",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "262-723-8444"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.