David K & Ellen Schmitz, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

7150 Issued in WI

Legal business name

DAVID K & ELLEN SCHMITZ, INC

Practice address

700 S River St
Spooner, WI 54801-9692

Phone

(715) 635-8785

Fax

(715) 635-2637

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Angela Kay Tellefson, PHARMDNPI 1134284573

Title

Managing Pharmacist

Phone

(715) 635-8785

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Schmitz's Economart Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

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

Locations

Practitioners 1

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

• Angela Kay Tellefson, PHARMD

  • Pharmacist
  • Spooner, WI
  • NPI 1134284573
  NPD (past) Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1750446191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S RIVER ST",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548019692",
            "telephone_number": "715-635-8785",
            "fax_number": "715-635-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S RIVER ST",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548019692",
            "telephone_number": "715-635-8785",
            "fax_number": "715-635-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID K & ELLEN SCHMITZ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "TELLEFSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "MANAGING PHARMACIST",
        "authorized_official_telephone_number": "715-635-8785",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "7150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33179000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schmitz's Economart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Schmitz's Economart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Grannis Coffey, M.D.
• Comprehensive Foot & Ankle, SC
• Julia M Corcoran
• County of Washburn
• Darren D Cox
• Eliza Devoe, DPT
• Molly Louise Dittmann
• Tasha Draves
• Joshua Eernisse, OD
• Nathan Karl Eichhorst, OD

• Community/Retail Pharmacy in Spooner, WI
• Providers in Spooner, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.