Active NPI
Quillins Quality Inc
Doing business as Quillins Health Q Pharmacy
- Community/Retail Pharmacy
- La Crosse, WI
National Provider Identifier
1780781526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 8534042
- Legal business name
- QUILLINS QUALITY INC
- Doing business as
- Quillins Health Q Pharmacy
- Practice address
- 3954 Mormon Coulee Rd
La Crosse, WI 54601-7916 - Phone
- (608) 784-6200
- Fax
- (608) 784-3808
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 31, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lloyd Payne, RPH
- Title
- Pharmacy Manager
- Phone
- (608) 784-6200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 8534042 | WI | Primary |
Addresses
Primary practice location
3954 Mormon Coulee Rd
La Crosse, WI 54601-7916
Mailing address
3954 Mormon Coulee Rd
La Crosse, WI 54601-7916
Phone (608) 784-6200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33157200 | Medicaid | WI | |
| 5119056 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 4563603 | Medicaid | WI |
Other names 1
- QUILLINS HEALTH Q PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248998400000",
"number": "1780781526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3954 MORMON COULEE RD",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546017916",
"telephone_number": "608-784-6200",
"fax_number": "608-784-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3954 MORMON COULEE RD",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546017916",
"telephone_number": "608-784-6200",
"fax_number": "608-784-3808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUILLINS QUALITY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2009-07-31",
"status": "A",
"authorized_official_last_name": "PAYNE",
"authorized_official_first_name": "LLOYD",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "608-784-6200",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "WI",
"license": "8534042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33157200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5119056",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4563603",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "QUILLINS HEALTH Q PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.