Organization Active NPI

Quillins Quality Inc

Doing business as Quillins Health Q Pharmacy

  • Community/Retail Pharmacy
  • La Crosse, WI
National Provider Identifier
1780781526
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
8534042 Issued in WI
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
33157200MedicaidWI
5119056OtherNCPDP PROVIDER IDENTIFICATION NUMBER
4563603MedicaidWI

Other names 1

  • QUILLINS HEALTH Q PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.