T a Solberg Co Inc
Organization Active NPI Community/Retail Pharmacy · Tomahawk, WI
NPI 1760949010 · NPPES record last updated Feb 22, 2019
Key facts
- NPI
- 1760949010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- T A SOLBERG CO INC
- Practice address
- 662 N 4TH St
Tomahawk, WI 54487-2123 - Phone
- (715) 453-2741
- NPI assigned
- Feb 22, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- T A SOLBERG CO INC
Authorized official
- Name
- Randall L Athens
- Title
- Director of Pharmacy
- Phone
- (715) 479-6413
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 4
Practitioners 9
-
Randall L Athens, RPH
-
Lisa Mattes, PHARMD
-
Zachary Louis Miller, PHARMD
-
Joshua Michael Welch, PHARMD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Trig'S Pharmacy |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110203000092 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 8022137751 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tomahawk, WI; Rhinelander, WI; Minocqua, WI; Eagle River, WI |
| O20190614000308 | WI | Part B Supplier - Pharmacy | 8022137751 | Practice locations: Tomahawk, WI |
| O20190702002568 | WI | DME Supplier - Pharmacy | 8022137751 | Practice locations: Tomahawk, WI |
National Provider Directory
- Tax ID family
- Trig'S Food Drug Phar
- Part of
- Trig'S Food Drug Phar
Locations
925 E Wall St
Eagle River, WI 54521
Phone (715) 479-6411
9750 State Highway 70
Minocqua, WI 54548
Phone (715) 356-9449
1600 Academy Ave
Ste A
Stevens Point, WI 54481
Phone (715) 544-4084
1600 Academy Ave
Stevens Point, WI 54481
Phone (715) 341-6102
662 N 4th St
Tomahawk, WI 54487
Phone (715) 453-2741
110 S 17th Ave
Wausau, WI 54401
Phone (715) 848-9066
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
662 N 4TH St
Tomahawk, WI 54487-2123
Mailing address
PO Box 50
Minocqua, WI 54548-0050
Phone (715) 479-6413
Other names
- TRIG'S PHARMACY
Other providers in Tomahawk, WI
- Sharon Arlene Silver
- Michelle M Smith
- Jennifer Ann Somers
- Tyler J Stevenson
- Stoxen Pharmacy
- Tomahawk Chiropractic, Inc
- Tomahawk Eye Care
- Tomahawk Eye Care Inc
- Tomahawk Family Dental LLC
- Tomahawk Pharmacy LLC
All providers in Tomahawk, WI · Community/Retail Pharmacy in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.