Professional Pharmacy Associates

Primary specialty

PharmacistTaxonomy code 183500000X

License

11837 Issued in WI

Legal business name

PROFESSIONAL PHARMACY ASSOCIATES

Practice address

105 N Western Ave Ste 3
Waupaca, WI 54981-2201

Phone

(715) 245-2880

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Sanger

Title

Pharmacist

Phone

(715) 256-2880

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1760698542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N WESTERN AVE STE 3",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549812201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N WESTERN AVE STE 3",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549812201",
            "telephone_number": "715-245-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SANGER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "715-256-2880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "11837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "5127344",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Waupaca, WI
• Providers in Waupaca, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.