FMPS LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

9303-42 Issued in WI

Legal business name

FMPS LLC

Doing business as

Peshtigo Health Care Services Pharmacy

Practice address

121 French St
Peshtigo, WI 54157-1215

Phone

(715) 582-4140

Fax

(715) 582-4196

NPI assigned

Jun 23, 2005

Last updated

Mar 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Guy Stillwell

Title

Ceo

Phone

(651) 270-0038

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Peshtigo Health Care Services Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Micheal S Scott, R.PH.

  • Pharmacist
  • Peshtigo, WI
  • NPI 1316386782
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1770589897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 FRENCH ST",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571215",
            "telephone_number": "715-582-4140",
            "fax_number": "715-582-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FRENCH ST",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571215",
            "telephone_number": "715-582-4140",
            "fax_number": "715-582-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "STILLWELL",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-270-0038"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "9303-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150999",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peshtigo Health Care Services Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Louise Davis, M.S., CCC-SLP
• Mark Dodge
• Synthea J Ebben, COTA
• Rachel M Erhart, MS, CCC-SLP
• Erin Ferry, DPT
• Laurie Lynn Gaines, LPN/LVN
• Mollie Hartwig, SLP
• Nick Jackson Jr., RPH
• Jean A Jarosinski, PTA
• Jeffrey W Orear DDS SC

• Pharmacy in Peshtigo, WI
• Providers in Peshtigo, WI by specialty
• Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.